Gastric ulcer in the distant evolution of the duodenal ulcer treated by gastroenterostomy
Keywords:
ulcer, duodenum, gastric surgeryAbstract
Two patients with duodenal ulcers and piloric obtructive syndrome had unrler gone gastroenterostomy far from the pilorus ( 28 and 32 years earlier). They
later developed stomach ulcers complicated by haemorrhages. They were cured through degastroenterostomy and subtotal gastrectomy 75 % Billroth II. The
different pathogenical hypothesis of gastric ulcers are discussed. Hyperacydity of antral gastrinic origin is considered the genetical ele.ment of gastric ulcers; this thesis is supported by the two clinical cases mentioned.
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