J.Jpn. Surg. Soc.. 87(9): 1124-1127, 1986

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Report on the annual meeting

SELECTION AND DEVICE OF OPERATIVE PROCEDURES FOR CHRONIC GASTRIC AND DUODENAL ULCERS AND THEIR RESULTS

Total 351 patients have been operated upon for chronic gastric and duodenal ulcers at Niigata University Hospital during the past 13 years. For gastric ulcer, conventional partial gastrectomy, segmental gastrectomy with or without vagotomy and proximal gastrectomy with vagotomy have been performed. For duodenal ulcer, selective proximal vagotomy with or without pyloroplasty and selective gastric vagotomy with antrectomy have been mainly performed.
It was well known that the rate of recurrent ulcer was high in patients who underwent selective proximal vagotomy. Therefore, we have performed extended selective proximal vagotomy for duodenal ulcer since 1977. Early postoperative gastric stasis was a weak point in selective gastric vagotomy with antrectomy. However, the rate of postoperative gastric stasis have been significantly decreased by our own device in which right gastroepiploic artery and vein have been preserved with nerves around them during selective gastric vagotomy with antrectomy.
It was disclosed that G cell hyperplasia was one of the important causes for ulcer recurrence after selective proximal vagotomy.

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