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The first successful gastrectomy was performed by Theodor Billroth in 1881 for cancer of the stomach.. Historically, gastrectomies were used to treat peptic ulcers. [7] These are now usually treated with antibiotics, as it was recognized that they are usually due to Helicobacter pylori infection or chemical imbalances in the gastric juices.
Billroth II, more formally Billroth's operation II, is an operation in which a partial gastrectomy (removal of the stomach) is performed and the cut end of the stomach is closed. The greater curvature of the stomach (not involved with the previous closure of the stomach) is then connected to the first part of the jejunum in end-to-side anastomosis.
A benign gastric ulcer (from the antrum) of a gastrectomy specimen. Gastric ulcers are most often localized on the lesser curvature of the stomach. The ulcer is a round to oval parietal defect ("hole"), 2–4 cm diameter, with a smooth base and perpendicular borders.
For example, in about 10% of the American public, gastric or peptic ulcers can become a problem. Ulcers are sores that form in soft tissue, such as the lining of the digestive tract, and gastric ...
“A peptic ulcer is a sore or a break in the tissue that lines your stomach or small intestine,” explains Dr. Leah DeCoste, MD, a gastroenterologist with Gastro Health in Acton, Massachusetts. Dr.
Gastric endoscopy, a procedure gradually replacing the need for antrectomy. With advancements in endoscopy, traditional antrectomy is a less popular surgical choice for gastric outlet obstruction (GOO) and peptic ulcer disease (PUD). [20] In the past, 89-90% of ulcer-related GOO patients required surgery. [24]
Marcellus Donatus of Mantua performs autopsies and describes gastric ulcers. [2] 1688 Johannes von Murault observes duodenal ulcers. [2] 1728 Stahl hypothesizes that some fevers are related to gastric inflammation and ulceration. [1] 1761 Pain is associated with stomach ulcers. [3] 1799 Matthew Baillie publishes a description of ulcers. [2]
Ulceration erodes the gastric mucosa, which protects the tissue of the stomach from the stomach acids. Peptic ulcers are most commonly caused by a bacterial Helicobacter pylori infection. [5] Epstein–Barr virus infection is another factor to induce gastric cancer. [6] [7] As well as peptic ulcers, vomiting blood may result from abnormal ...
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