This paper is only available as a PDF. To read, Please Download here.
The comparative study showed that the B I operation had the disadvantage of a higher frequency of recurrence than the B II operation, in the case of duodenal ulcers in males. The advantages of the B I method include a lower frequency of postoperative anemia, of marked postcibal symptoms, and of postoperative losses of weight.
The main advantage of the B II method was a lower frequency of recurrence.
Our indications for the present concerning the two types of partial gastrectomy are: in men with duodenal ulcer, B II; in men with gastric ulcer, B I; in women, B I.
It seems as if the only disadvantage of the B I operation lies in the fact that, for male duodenal cases, there is definitely a higher frequency of recurrence. The wisest procedure, therefore, would be to perform vagotomy in these cases at the same time as the B I operation. We have no evidence that this combined method is superior to the B II operation, but it is hoped that we shall have material later which will enable a comparison to be made.
To read this article in full you will need to make a payment
Purchase one-time access:Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
One-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:Subscribe to Surgery
Already a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
© 1957 Published by Elsevier Inc.