The present series of cases of operated chronic peptic ulcer patients, since 1957 to 1969, has been analyzed retrospectively to assess some etiological factors influencing peptic ulceration. Of those who long term follow-uped, three years or more post-operatively at which time they are still free of disease, about 95. 2 per cent are considered to have obtained a good operative results. The analysis would tend to substantiate the belief that peptic ulcer can be managed successfully by partial gastric resection. There are some differences in histories, ages, blood types, blood pressures, body weights and gastric secretion between three types of the lesions; gastric ulcer, duodenal ulcer and gastro-duodenal ulcer.
Gastric acids are low with gastric ulcer. Aging is a factor to decrease gastric secretion in peptic ulcer patients as reported in normal man.
Gastric ulcer occurs among patients who are 14 years older than patients with duodenal ulcer and 7 years older than patients with gastro-duodenal ulcer. A. large difference between Japan and Europe is recognized in the percentage of gastric ulcer vs. duodenal ulcer.
It is difficult to agree from the statistical point of view, peptic ulcer is divided into two important groups; gastric ulcer and duodenal ulcer. According to the pattern of the gastric secretion, gastro-duodenal ulcer, however, have properties of the latter.
It is necessary to difine a certain definition between different types of operations as a result of investigating many data of gastric secretion. For example, when comparing the Billroth-I and Billroth-II operation, quite large differences are observed in gastric secretion.
抄録全体を表示