The Long-term Outcome of Billroth I Partial Gastrectomy for Benign Gastric Ulcer

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Abstract
Patients (144) undergoing Billroth I partial gastrectomy for benign gastric ulcer were studied. At a mean follow-up of 9.4 yr, 95 patients were alive. Of 79 patients reviewed, 84% had an excellent or good result on clinical (Visick) grading. Five cases of proven recurrent ulceration were found; 2 of these patients required subsequent truncal vagotomy. There was 1 early death after operation, and 48 late deaths, including 1 from carcinoma of the gastric remnant (at 2 yr), 1 from a reticulum cell sarcoma of the stomach (at 3 yr), and 1 from reactivation of pulmonary tuberculosis. The operation was not attended by appreciable nutritional sequelae, although there was a tendency towards Fe deficiency anemia.