Recurrent Ulcers after Gastric Surgery: Endoscopic Localization to the Gastric Mucosa

Sharaiha, Zeyad K.; Smith, J. Lacey; Cain, G. Douglas; Schwartz, Jim T.; Graham, David Y.
May 1983
American Journal of Gastroenterology;May1983, Vol. 78 Issue 5, p269
Academic Journal
The traditional teaching has been that ulcers recurring after ulcer surgery occur at, or distal to, the anastomosis of the gastric and intestinal mucosa. These concepts predate the widespread availability of fiberoptic endoscopy. We noted that recurrent ulcers were frequently located in the gastric mucosa proximal to the gastrointestinal anastomosis. We analyzed our cases for the purpose of identifying the location of ulcers that occur after surgery for peptic ulcer disease and to investigate the possible relationship between indication for the original ulcer surgery and the presentation of the recurrent ulcer. Ulcers after peptic ulcer surgery were most frequently located in the gastric mucosa proximal to the intestinal anastomosis. The location of the recurrence was not found to be related to the original diagnosis, to the indication for the operation, or to the presentation of the recurrence. These findings may reflect either a change in the pattern of ulcer recurrence or an altered pattern of recognition related to the routine use of endoscopy.


Related Articles

  • Bleeding peptic ulcers. Bown, Stephen // BMJ: British Medical Journal (International Edition);6/15/91, Vol. 302 Issue 6790, p1417 

    Examines the hospital care for bleeding peptic ulcers. Assessment of the exact bleeding point at emergency endoscopy; Statistics of patients recovering from peptic ulcer; Benefits of endoscopy.

  • Natural orifice transluminal endoscopic surgery for patients with perforated peptic ulcer. Bonin, Eduardo; Moran, Erica; Gostout, Christopher; McConico, Andrea; Zielinski, Martin; Bingener, Juliane // Surgical Endoscopy;Jun2012, Vol. 26 Issue 6, p1534 

    Background: Perforation accounts for 70% of deaths attributed to peptic ulcers. Laparoscopic repair is effective but infrequently used. Our aim was to assess how many patients with perforated peptic ulcer could be candidates for a transluminal endoscopic omental patch closure. Methods: This...

  • Continuous Infusion of Pantoprazole versus Ranitidine for Prevention of Ulcer Rebleeding: A U.S. Multicenter Randomized, Double-Blind Study. Jensen, Dennis M.; Pace, Samuel C.; Soffer, Elaine; Comer, Gail M. // American Journal of Gastroenterology;Sep2006, Vol. 101 Issue 9, p1991 

    OBJECTIVES: No North American randomized study has compared ulcer rebleeding rates after endoscopic hemostasis in high-risk patients treated with high-dose intravenous (IV) proton pump inhibitors (PPIs) or IV histamine-2 receptor antagonists. Our hypothesis was that ulcer rebleeding with IV...

  • Observer variation in assessment of results of surgery for peptic ulceration. Hall, Robert; Horrocks, Jane C.; Clamp, Susan E.; de Dombal, F.T. // British Medical Journal;4/3/1976, Vol. 1 Issue 6013, p814 

    Focuses on the observer variation in the assessment of results of surgery for peptic ulceration. Presentation of symptoms as a basis for assessment; Discussion on Visick and other classifications in grading post surgery status of the patients; Limitations to assessment brought about by...

  • Poor Outcome and Quality of Life in Female Patients Undergoing Secondary Surgery for Recurrent Peptic Ulcer Disease Gonz├ález-Stawinski, Gonzalo V.; Rovak, Jason M.; Seigler, Hilliard F.; Grant, John P.; Kalady, Matthew F.; Biswas, Shanka; Pappas, Theodore N.; Gonz├ález-Stawinski, Gonzalo V // Journal of Gastrointestinal Surgery;May2002, Vol. 6 Issue 3, p396 

    Secondary peptic ulcer surgery is uncommon given the success of a wide variety of medical therapies, plus the good outcome expected after primary peptic ulcer surgery. Early reports of secondary peptic ulcer surgery in the 1950s and 1960s suggested good long-term outcome in most patients;...

  • Long-term follow-up after peptic ulcer surgery: A need for reopening the old. Nambiar, Rajesh; Jeyasingh, R.; Ashok, L.; Jayanthi, V. // Indian Journal of Surgery;Aug2006, Vol. 68 Issue 4, p235 

    A letter to the editor is presented referring to the complications faced in the surgery for peptic ulcer disease by surgeons.

  • Mortality in patients with bleeding peptic ulcer when those aged 60 or over are operated on early. Wheatley, K.E.; Snyman, J.H.; Brearley, S.; Keighley, M.R.B.; Dykes, P.W. // BMJ: British Medical Journal (International Edition);8/4/90, Vol. 301 Issue 6746, p272 

    Examines the mortality rate in patients with bleeding peptic ulcer undergoing early surgery in Great Britain. Role of endoscopic hemostasis on the improvement of surgery; Contributing factors to mortality; Common operations for duodenal ulcer and gastric ulcer.

  • Optimal timing of operation for bleeding peptic ulcer: prospective randomised trial. Morris, D.I.; Chawker, P.C.; Brearley, S.; Simms, M.; Dykes, P.W.; Keighley, M.R.B. // British Medical Journal (Clinical Research Edition);4/28/1984, Vol. 288 Issue 6426, p1277 

    Focuses on the management policy in patients with bleeding peptic ulcers. Comparison of the efficacy of aggressive and conservative treatment; Correlation between aggressive surgical policy with mortality rate reduction; Concerns on the diagnostic techniques and reported mortality rate.

  • Laparoscopic Repair of Iatrogenic Endoscopic Perforated Peptic Ulcer. Siu, Wing Tai; Chau, Chun Han; Law, Bonita Ka Bo; Tang, Chung Ngai; Li, Michael Ka Wah // Journal of Laparoendoscopic & Advanced Surgical Techniques;Feb2003, Vol. 13 Issue 1, p51 

    Iatrogenic perforation is an uncommon but inevitable complication of endoscopy. Laparotomy has been the standard treatment for pyloroduodenal perforations caused by endoscopy. Laparoscopic repair is a well-documented treatment modality for spontaneously perforated peptic ulcer. We report our...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics