[Personal experience with gastric resection in the treatment of gastroduodenal ulcer].
Billroth I or II resection was adopted in the treatment of 85 subjects with simple or complicated gastroduodenal ulcer. Operative mortality was 1.4% in surgery of choice and 18.7% where emergency management was required to combat perforation of serious haemorrhage. Follow-up after 1-2 yr showed that marked benefit had been obtained from the operation in 83%, while partial success was achieved in 15,5%. Postoperative peptic ulcer was observed in one case only. Comparison with a series of 120 patients subjected of choice or in emergency to truncal vagotomy and gastric drainage during the same period for duodenal ulcer and followed for 2-6yr (no operative deaths and complete success in over 91%) made it clear trat, while resection was attended by a smaller number of recurrences (1.5% as opposed to 2.9%), this advantages was obtained at the price of a greater operative risk and by no means negligible long-term sequelae.
D000328:Adult; D000368:Aged; D005069:Evaluation Studies as Topic; D005500:Follow-Up Studies; D005743:Gastrectomy / Q000379:methods / Q000401:mortality; D006801:Humans; D008875:Middle Aged; D010437:Peptic Ulcer / Q000401:mortality / Q000601:surgery*; D010438:Peptic Ulcer Hemorrhage / Q000601:surgery; D011183:Postoperative Complications / Q000401:mortality; D012008:Recurrence; D014628:Vagotomy
La nostra esperienza in tema di gastroresezione nel trattamento dell'ulcera gastroduodenale.