+ Resolve Article
+ Follow Us
Follow on FacebookFollow on Facebook
Follow on TwitterFollow on Twitter

+ Translate
+ Subscribe to Site Feed
GeoScience Most Shared ContentMost Shared Content

Marginal ulcer. A difficult surgical problem

, : Marginal ulcer. A difficult surgical problem. Annals of Surgery 195(5): 653-661

One hundred sixty-six patients with documented recurrent or marginal ulcers following previous ulcer operations were seen at Duke Medical Center and the Durham VA Hospital from 1950 through 1980. Patients with the diagnosis of gastrinoma were excluded from the series. Evaluation of initial operation for recurrent ulcer showed that the highest recurrence rate occurred following non-acid-reducing operations. Analysis of the symptom-free interval following initial ulcer operation showed a significantly longer interval prior to recurrent ulcer development following gastroenterostomy than other procedures, while resection and Billroth I reanastomosis showed a significantly shorter symptom-free interval than did other procedures. Endoscopy proved 85% sensitive in making the diagnosis of marginal ulcer, while upper GI series was 71% sensitive. Surgical treatment of 132 patients resulted in a 20.4% recurrence rate of second marginal ulcer, with a 2.3% mortality rate and a 10.6% morbidity rate. Second operation for recurrent ulcer in 24 patients yielded no deaths, a 12.5% morbidity rate, and a 29.2% recurrence rate. Average follow-up for the series was 12.3 years, and ultimate outcome of treatment showed, of patients not lost to follow-up, a 58.2% satisfactory to excellent rating, while 42.8% of patients had an unsatisfactory result of treatment.


PMID: 7073362

Other references

Cover, S.; Dilsaver, E.M., 1947: Retention of the B vitamins in beef and lamb after stewing. 2. Thiamine. Vitamin B1 was estimated by a modification of the thiochrome method in raw meat and in beef and lamb stews prepared as previously described {Abst. 1760, Vol. 17). The average retention of the vitamin, calculated on the basis of dry weight excludin...

Sambongi, Y.; Wakabayashi, T.; Yoshimizu, T.; Omote, H.; Oka, T.; Futai, M., 1997: Caenorhabditis elegans cDNA for a Menkes/Wilson disease gene homologue and its function in a yeast CCC2 gene deletion mutant. The full-length cDNA coding for a putative copper transporting P-type ATPase (Cu-2+-ATPase) was cloned from Caenorhabditis elegans. The putative Cu-2+-ATPase is a 1,238-amino acid protein, and highly homologous to the Menkes and Wilson disease gen...

Waaramaa, T.; Laukkanen, A-Maria.; Airas, M.; Alku, P., 2010: Perception of emotional valences and activity levels from vowel segments of continuous speech. This study aimed to investigate the role of voice source and formant frequencies in the perception of emotional valence and psychophysiological activity level from short vowel samples (approximately 150 milliseconds). Nine professional actors (fiv...

Snell, J.A.; Mallory, S.B., 1990: Ulerythema ophryogenes in Noonan syndrome. Pediatric Dermatology 7(1): 77-78

Islas, J.L.; Kuehn, K.W., 2008: GIS modeling applications in petroleum exploration. Recent advances in computer technology and GIS software can expedite petroleum exploration and development by creating geological models that previously involved hours of tedious data manipulation. In this study, examples of geospatial application...

Joloba, M.L.; Whalen, C.C.; Cave, D.M.; Eisenach, K.D.; Johnson, J.L.; Okwera, A.; Morrissey, A.; Bajaksouzian, S.; Feagin, J.; Mugerwa, R.; Ellner, J.; Jacobs, M.R., 2000: Determination of drug susceptibility and DNA fingerprint patterns of clinical isolates of Mycobacterium tuberculosis from Kampala, Uganda. Objective: To ascertain the rate of initial drug resistance and transmission patterns of Mycobacterium tuberculosis in Kampala, Uganda. Setting: National Tuberculosis (TB) Treatment Centre, Mulago Hospital, Kampala, Uganda and Case Western Reserve...

Schwab K., 1986: Compression tectonics and rightward horizontal backfilling in the distributed borderland of the Hunsruck, southwestern Germany. Pages 72 1986

Reed, R.; Wouston, T.W.; Todd, P.M., 1966: Structure and function of the sarcolemma of skeletal muscle. Nature 211(5048): 534-536

Haines, S.T.; Persky, A.M., 2015: Faculty development: who, what, why, where, when, and how?. American Journal of Pharmaceutical Education 78(5): 97-97

Carnielo, M.G.andclerc, J.M.ll, M., 1983: Use of a near infra-red reflectance apparatus to estimate the quality of a barley or malt. Proceedings of the congress European Brewery Convention9(19): 619-626