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

Gastric resection for peptic ulcer; Billroth I versus Billroth II

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      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.
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