Advertisement
Reappraisal| Volume 41, ISSUE 2, P341-344, February 1957

Gastric resection for peptic ulcer; Billroth I versus Billroth II

      This paper is only available as a PDF. To read, Please Download here.

      Abstract

      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
      Institutional Access: Sign in to ScienceDirect