Summary and conclusion
A large series of patients originally hospitalized for acute hemorrhage from bleeding peptic ulcer were followed 3–8 years. Gross gastrointestinal hemorrhage recurred in approximately the same percentage of those who were never operated upon as in those who had subtotal gastrectomy to prevent the recurrence of bleeding. It is felt that these differences are of no special significance. The pertinent literature is in substantial agreement with the above findings.
Similar content being viewed by others
References
Palmer, E. D. Clinical Gastroenterology. Cassell, London, 1957.
Christopher, F. A Textbook of Surgery. 7th ed. Saunders, Philadelphia, 1960.
Allen, J. G., Harkens, H. N., Moyer, C. A., Rhoads, J. E. Surgery: Principles and Practice. Lippincott, Philadelphia, 1957.
Shackelford, R. T. Surgery of the Alimentary Tract. Saunders, Philadelphia, 1955.
Jones, A. Hematemesis and melena.Gastroenterology 30:166, 1956.
Allen, J. G., andOberhelman, H. A. The problem of bleeding peptic ulcer.Surgery 37:1019, 1955.
Moore, F. D., Peete, W. P., Richardson, J. E., Erskine, J. M., Brooks, J. R., andRogers, H. The effect of definitive surgery on duodenal ulcer disease.Ann. Surg. 132:652, 1950.
Chinn, A. B., Littell, A. S., Badger, G. F., andBeams, A. J. Acute hemorrhage from peptic ulcer; A follow-up study of 310 patients.New England J. Med. 255:973, 1956.
Brooks, J. R., andMoore, F. D. Duodenal ulcer: The present status of definitive surgery; The selection and management of patients undergoing operation.New England J. of Med. 260:1018, 1069, 1124, 1959.
Cornell, W. S. Observations on the surgical treatment of peptic ulcer; A six-year review of 101 male patients.Am. J. Surg. 97:709, 1959.
Donaldson, R. M., Handy, J., andPapper, S. Five-year follow-up study of patients with bleeding duodenal ulcer with and without surgery.New England J. Med. 259:201, 1958.
Boles, R. S., Cassidy, W. J., andJordan, S. M. Medical versus surgical management for the complication of hemorrhage in duodenal ulcer.Gastroenterology 32:52, 57.
Report of Committee on Surgical Procedures (American Gastroenterological Association).Gastroenterology 22:295, 1952, andK. S. Grimson, Surgical procedures for peptic ulcer: A critique of the Committee report:Gastroenterology 24:274, 1954.
Kiefer, E. D. Life with a subtotal gastrectomy: A follow-up study ten or more years after operation.Gastroenterology 37:434, 1959.
Hoerr, S. O. Evaluation of vagotomy with gastroenterostomy performed for chronic duodenal ulcer: Report based on 5-year follow-up of 145 patients.Surgery 38:149, 1955.
Holt, R. L., andRobinson, A. F. The treatment of duodenal ulcer by vagotomy and gastrojejunostomy.Brit. J. Surg. 42:494, 1955.
Powsner, L. G., Holleran, W. M., andRoss, D. E., A critical review of 900 cases of gastroduodenal surgery.Am. J. Gastroenterology 33:163, 1960.
Walters, W., Lynn, T. E., andMobley, J. E. A five to 10 year follow-up study of Billnoth I and Billnoth II operations for duodenal, gastric and gastrojejunal ulcers and gastroenterostomy in the treatment of duodenal ulcer.Gastroenterology 33:685, 1957.
Thomas, J. H., andRees, W. E. Hematemesis and melena.Gastroenterology 26:260, 1954.
Panel Discussion: Choice of elective operation for duodenal ulcer.Gastroenterology 31:339, 1956.
Schirmer, J. F., andBowers, W. F. Observations based on 245 consecutive gastrectomies for duodenal ulcer disease at Brooks Army Hospital.Arch. Surg. 74:447, 1957.
Weinstein, V. A., Druckerman, M. D., Klingenstein, P., andClop, R. Subtotal gastrectomy with and without vagotomy in the treatment of duodenal ulcer.Gastroenterology 22:192, 1952.
Gardner, B., andBaronofsky, I. D. The massively bleeding duodenal ulcer with special reference to the crater.Surgery 45:389. 1959.
Welch, C. Medical progress: Abdominal surgery.New England J. Med. 263:1005, 1960.
Author information
Authors and Affiliations
Additional information
Supported in part by a grant from the Culpeper Foundation.
Rights and permissions
About this article
Cite this article
Grace, W.J., Mitty, W.F. Does subtotal gastrectomy in bleeding peptic ulcer prevent recurrence of bleeding?. Digest Dis Sci 7, 69–74 (1962). https://doi.org/10.1007/BF02231932
Issue Date:
DOI: https://doi.org/10.1007/BF02231932