This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citing articles on HighWire  • Citing articles on Web of Science (4)  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

Size of Resection Versus Ulcer Control and Patient Rehabilitation

H. BROWNELL WHEELER, MD; CARL S. HOAR, JR., MD; LON E. CURTIS, MD

AMA Arch Surg. 1966;92(1):52-57.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

DURING the past 30 years the most common operation for duodenal ulcer has been resection of the distal two thirds to three fourths of the stomach. This procedure, once the standard operation in peptic-ulcer surgery, is now being replaced in many hospitals by vagotomy combined with pyloroplasty or antrectomy. Operations eliminating vagal stimulation probably have a more elegant physiologic rationale to support them^1-3; but the loss of enthusiasm for subtotal gastrectomy stems in large part from reports of high ulcer-recurrence rates, poor nutritional results, distressing postprandial symptoms, and relatively high operative morbidity and mortality figures.^4-7 The incidence of such complications after subtotal gastrectomy is not uniform, however, and some authors have reported such good operative results that there would seem to be little room left for improvement in an elective procedure, regardless of its physiologic basis.^8,9

It seems desirable to determine the reasons behind the disparity in . . . [Full Text PDF of this Article]

Author Affiliations
WEST ROXBURY, MASS

From the departments of surgery, Veterans Administration Hospital, West Roxbury, and Harvard Medical School, Boston.

Footnotes
Submitted for publication Aug 27, 1965.

Reprint requests to 1400 Veterans of Foreign Wars Pkwy, West Roxbury, Mass 02132 (Dr. Wheeler).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?