抄録
To evaluate surgical treatment for peptic ulcer, the 582 cases of gastric and/or duodenal ulcer, which elapsed three to ten years after gastrectomy, were investigated bycorrespondence and interviewing.
The results obtained were as followings.
1) The near mortality rate within one month after operation was 1.5% of the 582 gastrectomy cases (9 cases), of which seven cases underwent emergency operation because of perforation or large bleeding.
No mortality is expected by gastrectomy in the cases without severe complication.
2) The late results were based on the information of 370 cases out of the whole gastrectomy cases (63.5%), some of which suffered from intestinal obstruction, serum hepatitis and cardiovascular disease after leaving hospital and 16 cases were dead.
3) Various postoperative complaints such as pain or dullness of epigastrium, costipation and heartburn were brought by 27% of the cases. By the subjective composite decision, however, results of gastrectomy were excellent in 86%, fair in 12% and not improved in 2%.
Every unimproved cases had mild degree of ulcers or erosions of the stomach preoperatively, while most of all the cases with severe degree of ulcers gained excellent results.
4) Fluoroscopy of stomach and blood examination were carried out in 279 cases who visited this clinic. Then it was noticed that in the cases after Billroth II method adhesion of efferent jejunal loop had close relation with various postoperative complaints.
A few of the cases showed anemia, hypoproteinemia or dysfunction of liver.
On the basis of those results, the authors recommend rather active gastrectomy for peptic ulcer. Furthermore, to improve surgical result the effort for prevention of intestinal adhesion and serum hepatitis will be important.
