Evolution of gastric ulcer surgery

The author analyzes the evolution of the gastric ulcer surgery along one century. Rydiguier performed the first gastrectomy because of gastric ulcer en 1881. He was successful and he went on performing it in spite of the difficulties of the time. The use of vagotomy has been greatly questioned and e...

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Main Author: Suiffet, Walter (author)
Format: article
Language:Spanish
Published: 1982
Subjects:
Online Access:https://revista.scu.org.uy/index.php/cir_urug/article/view/3574
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author Suiffet, Walter
author_browse Suiffet, Walter
author_facet Suiffet, Walter
author_role author
collection Revista Cirugía del Uruguay
dc.creator.none.fl_str_mv Suiffet, Walter
dc.date.none.fl_str_mv 1982-04-09
dc.format.none.fl_str_mv application/pdf
dc.identifier.none.fl_str_mv https://revista.scu.org.uy/index.php/cir_urug/article/view/3574
dc.language.none.fl_str_mv spa
dc.publisher.none.fl_str_mv Sociedad de Cirugía del Uruguay
dc.relation.none.fl_str_mv https://revista.scu.org.uy/index.php/cir_urug/article/view/3574/3380
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
dc.source.none.fl_str_mv Cirugía del Uruguay; Vol. 52 No. 4 (1982): Cirugía del Uruguay; 344-348
Cirugía del Uruguay; Vol. 52 Núm. 4 (1982): Cirugía del Uruguay; 344-348
Cirugía del Uruguay; v. 52 n. 4 (1982): Cirugía del Uruguay; 344-348
1688-1281
0009-7381
reponame:Revista Cirugía del Uruguay
instname:Sociedad de Cirugía del Uruguay
instacron:Sociedad de Cirugía del Uruguay
dc.subject.none.fl_str_mv gastrectomía
gastrectomy
dc.title.none.fl_str_mv Evolution of gastric ulcer surgery
Evolución de la cirugía del Ulcus gástrico
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
info:eu-repo/semantics/publishedVersion
description The author analyzes the evolution of the gastric ulcer surgery along one century. Rydiguier performed the first gastrectomy because of gastric ulcer en 1881. He was successful and he went on performing it in spite of the difficulties of the time. The use of vagotomy has been greatly questioned and experience does not seem to be favorable, considering the unequal results. It is considered that the G U surgery requires, as a fundamental element, the exeresis of the lesion and a wide resection of the lesser curvature and a correct resection of the area where there are lesions of the gastric mucosa that tend to the appearance of the gastric ulcer. There is no reason for a resection of more than 40% of the stomach- except in the cases of acid hypersecretion. In case of risk of general arder, more conservative tactics may be used. Tactics must be adjusted to the topography of the lesion and the secretorial activity of each case. Tactics of high and juxtacardial GU are not analyzed. Mortality and relapse rates are analyzed.
eu_rights_str_mv openAccess
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publishDate 1982
publishDateSort 1982
publisher.none.fl_str_mv Sociedad de Cirugía del Uruguay
reponame_str Revista Cirugía del Uruguay
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spelling Evolution of gastric ulcer surgeryEvolución de la cirugía del Ulcus gástricoSuiffet, WaltergastrectomíagastrectomyThe author analyzes the evolution of the gastric ulcer surgery along one century. Rydiguier performed the first gastrectomy because of gastric ulcer en 1881. He was successful and he went on performing it in spite of the difficulties of the time. The use of vagotomy has been greatly questioned and experience does not seem to be favorable, considering the unequal results. It is considered that the G U surgery requires, as a fundamental element, the exeresis of the lesion and a wide resection of the lesser curvature and a correct resection of the area where there are lesions of the gastric mucosa that tend to the appearance of the gastric ulcer. There is no reason for a resection of more than 40% of the stomach- except in the cases of acid hypersecretion. In case of risk of general arder, more conservative tactics may be used. Tactics must be adjusted to the topography of the lesion and the secretorial activity of each case. Tactics of high and juxtacardial GU are not analyzed. Mortality and relapse rates are analyzed.Se analiza la evolución de la cirugía del Ulcus gástrico en el correr de un siglo. Rydygier realizó la primera gastrectomía por U.G. en 1881. Obtuvo éxito y la siguió practicando, a pesar de las dificultades de la época. La utilización de la vagotemia ha sido muy cuestionada y la experiencia parece no ser favorable, dado los resultados dispares. Se considera que la cirugía del U.G. exige como elemento fundamental, la excerésis de la lesión y una resección amplia de curva menor y correcta de la zona donde existen lesiones de la mucosa gástrica, que propenden a la aparición del U.G. No existe razón para una resección mayor que el 40% del estómago, salvo en los casos de hipersecreción ácida. Se pueden utilizar tácticas más conservadoras, en casos de riesgo de orden general. La táctica se debe ajustar a la topografía de la lesión y a la actividad secretoria de cada caso. No se analiza la táctica del U.G. alto y juxtacardial. Se analizan las cifras de mortalidad y de recidivas.Sociedad de Cirugía del Uruguay1982-04-09info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://revista.scu.org.uy/index.php/cir_urug/article/view/3574Cirugía del Uruguay; Vol. 52 No. 4 (1982): Cirugía del Uruguay; 344-348Cirugía del Uruguay; Vol. 52 Núm. 4 (1982): Cirugía del Uruguay; 344-348Cirugía del Uruguay; v. 52 n. 4 (1982): Cirugía del Uruguay; 344-3481688-12810009-7381reponame:Revista Cirugía del Uruguayinstname:Sociedad de Cirugía del Uruguayinstacron:Sociedad de Cirugía del Uruguayspahttps://revista.scu.org.uy/index.php/cir_urug/article/view/3574/3380info:eu-repo/semantics/openAccessoai:ojs2.revista.scu.org.uy:article/35742026-06-16T04:50:50Z
spellingShingle Evolution of gastric ulcer surgery
Suiffet, Walter
gastrectomía
gastrectomy
status_str publishedVersion
title Evolution of gastric ulcer surgery
title_full Evolution of gastric ulcer surgery
title_fullStr Evolution of gastric ulcer surgery
title_full_unstemmed Evolution of gastric ulcer surgery
title_short Evolution of gastric ulcer surgery
title_sort Evolution of gastric ulcer surgery
topic gastrectomía
gastrectomy
url https://revista.scu.org.uy/index.php/cir_urug/article/view/3574