MUCOSAL CHANGES OF THE BILLROTH-II RESECTED STOMACH - A FOLLOW-UP-STUDY OF PATIENTS RESECTED FOR DUODENAL-ULCER, WITH SPECIAL REFERENCE TO GASTRITIS, ATYPIA AND CANCER

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  • 1 January 1981
    • journal article
    • research article
    • Vol. 89  (3) , 227-234
Abstract
A consecutive series of 1000 patients, who underwent Billroth II resection for duodenal ulcer 22-30 yr earlier, was studied. The mucosal changes of the gastric stump were studied by endoscopy and biopsy in 196 cases. At histological examination, only 7.1% of the patients had a normal gastric mucosa; the remaining 92.9% had chronic atrophic gastritis, which was diffuse and most marked at gastrojejunostomy. In 7.1% of the cases the inflammation was accompanied by focal accumulation of lipophages; 12.2% had nonneoplastic polyp formation caused by cystic glandular dilatation of the mucosa at gastrojejunostomy, eosinophilic granulomatous polyps or protrusion of the mucosa at the lesser curvature caused by invagination at the resection; 14.8% of the patients had epithelial atypia close to the anastomosis, but no cancers were found. A cancer prophylactic endoscopic screening of patients treated with Billroth II resection for duodenal ulcer is apparently not needed.