Anaemia following gastric operations for peptic ulceration in dublin

I. Incidence
  • D. G. Weir
Article
First Online:

Summary

  1. 1.

    Three hundred and fifteen patients seen at 0-15 years after a gastric operation for peptic ulcer had an incidence of anaemia of 44% among the men and 34% among the women.

     
  2. 2.

    The mean haemoglobin level was shown to fall progressively and significantly with years after partial gastrectomy. This was most marked following the Polya gastrectomy and in pre-menopausal as opposed to post-menopausal women.

     
  3. 3.

    The gastro-enterostomy group, although showing no progressive fall in the mean haemoglobin, showed a significantly higher incidence of anaemia than the medically treated peptic ulcer group. This was probably due to the higher incidence of gastro-intestinal haemorrhage occurring in this group as compared with the partial gastrectomy group.

     
  4. 4.

    The medically treated peptic ulcer group showed a significant rise in the mean haemoglobin level with years after hospital treatment. Pre-operative anaemia was a highly significant factor in the incidence of anaemia following operation. The significance of this is discussed.

     
  5. 5.

    Haematological evidence of iron deficiency was found in 22.2% of these cases. The incidence was highest following the Polya gastrectomy and in women.

     
  6. 6.

    Megaloblastic anaemia was found in 3 cases (1.2%) in all of whom it occurred following a Polya gastrectomy. Two of these cases also had subacute combined degeneration.

     
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Copyright information

© Springer 1963

Authors and Affiliations

  • D. G. Weir
    • 1
    • 2
  1. 1.Department of Clinical MedicineTrinity CollegeDublin
  2. 2.Federated Dublin Voluntary HospitalsDublin

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