胃切除後吻合部潰瘍9症例の検討

Nine Cases of Stomal Ulcer after Gastrectomy for Gastro-duodenal Ulcer

Creators Fujimoto Shigeki

Creators Tatebayashi Kinichiro

Creators Toshimitsu Masahiro

Creators Kuniyoshi Iwao

Creators Morita Michio

Creators Matsumoto Tadashi

Creators Honma Kiichi

Nine cases of recurrent ulcer, presenting at or near the anastomosis after gastrectomy for gastrduodenal ulcer, were treated at our surgical department from Jan. 1971 to Dec. 1978. In seven cases, re-resection with Roux-Y procedure was performed, and a truncal vagotomy was additionally undergone in only two cases. Excellent or very good results were obtained in all patients postoperativelly. As the cause of anastomotic ulperation, inadequate initial gastric resection are considered in 6 cases, exposure of non-absorbable suture materials at the suture line in 2 cases, and postoperative administration of steroid hormone in 1 case.

[ISSN]0513-1731

[NCID]AN00243156