The Role of Surgery in Peptic Ulcer

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Abstract
IN this issue of the Journal, Ross and his colleagues1 confirm previous reports of an increase in late mortality after surgery for peptic ulcer. They found that life expectancy was shortened by a mean of nine years in 779 Scottish men who were followed for a minimum of 15 years after operation. They conclude that the excess mortality was due chiefly to diseases associated with smoking, and that the operation itself was not the direct cause. Of note was their finding that the incidence of gastric carcinoma was not increased, although this complication is often reported after subtotal gastrectomy . . .

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