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Current operations for duodenal ulcer

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Abstract

The surgical treatment of duodenal ulceration of the gastro-intestinal tract is reserved for specific complications of the ulcer, namely perforation, hemorrhage, obstruction of the gastric outlet, intractability, and recurrence following previous surgery. Though all persons with an ulceration share at least one symptom of the ulcer diathesis, the treatment of a specific patient's problem demandsindividualization so that the best-suited operative procedure will be performed. If patients are appropriately selected for surgical procedures, the success ratio is maximized, and the frequency of undersirable side effects minimized. We view the surgical procedure for duodenal ulcer not as an indication of failure of medical therapy, but as an appropriate treatment for specific complications of the disease. When indicated, curative procedures can be performed routinely with minimal chance of recurrence. Whenever an ulcer recurs, a specific plan of investigation will help differentiate incomplete vagotomy, endocrine tumors, or other common reasons for ulcer recurrence.

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Authors and Affiliations

  1. Department of Surgery, The Abraham Lincoln School of Medicine, The University of Illinois at the Medical Center, Chicago, USA

    Lloyd M. Nyhus

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  1. Lloyd M. Nyhus
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Warren H. Cole, Professor and Head, Department of Surgery.

Presented to the 77th Congress of the Japan Surgical Society, March 31, 1977.

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Nyhus, L.M. Current operations for duodenal ulcer. The Japanese Journal of Surgery 7, 105–113 (1977). https://doi.org/10.1007/BF02469339

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  • DOI: https://doi.org/10.1007/BF02469339

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