J.Jpn. Surg. Soc.. 87(9): 1121-1123, 1986

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Report on the annual meeting

SURGICAL TREATMENT OF PEPTIC ULCER ; PRESENT AND FUTURE OF STANDARD OPERATIVE PROCEDURES

During the past 20 years (1965－1984), a total of 543 patients with gastric, gastroduodenal or duodenal ulcer (GU, GDU, DU) was operated on in the First Department of Surgery of Tokyo University Hospital. The operations performed as standard procedures included subtotal gastrectomy for high-lying GU, conventional 2/3 gastrectomy, TV (or SV) + antrectomy for hypersecreting ulcer and SPV ± pyloroplasty for DU.
There were 7 operative deaths (1.3 per cent), and 6 of them were emergency operation cases. The overall long-term results were evaluated on the basis of Visick grading. Grade I (excellent) and Grade II (good) results occurred in 87－95 per cellt of the cases in each operation group. The difference was not significant between any two types of the procedures. Ulcer recurrence rate was 2.4 per cent in 2/3 gastrectomy group and 14.4 per cent in SPV ± pyloroplasty group. No recurrence occurred after subtotal gastrectomy and TV (SV) + antrectomy. The causes of recurrence after SPV are waited to be defined so that the incidence of recurrence might be lowered in the near future.

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