Abstract
We obtained information about case of peptic ulcer through a questionnaire on symptoms, location of the lesion, indication for surgical treatment and operations performed to study the recent treatment modality.
We analyzed 14 cases of surgically treated peptic esophageal ulcer reported on the questionnaire of which three were from our experience. Of our three patients, two required resection of a severely stenotic segment of the esophagus, and in the other who had Barrett's ulcer a total thoracic esophagectomy was performed because of difficulty in distinguishing that lesion from esophageal cancer.
Analysis of replication of the questionnaire responses showed that dysphagea was the most common symtpom and that all ulcers except Barrett's ulcer were located in the lower portion of the esophagus. Ten ulcers were associated with an esophageal hiatal hernia.
According to the responses, lower esophagectomy and cardiectomy were performed on 11 patients and total or subtotal thoracic esophagectomy on three. Various methods of reconstruciton were reported from each institution, but esophago-gastrostomy was the common procedure for the disease.
On the basis of this investigation, we discussed the surgical management of peptic esophageal ulcer.
