At the Mayo Clinic the most commonly used operation for complications of duodenal ulcer has been the so-called adequate partial gastrectomy. Two undesirable complications, however, sometimes follow this procedure: (1) recurrence of the ulcer and (2) the "dumping syndrome" with malnutrition. Dissatisfaction with recurrent ulceration has been expressed in two large series with longterm follow-up reports: Wallensten in 1954 found recurrence in 8.4% of patients after the Billroth I procedure and in 2.5% after the Billroth II operation. Walters and Lynn in 1957 found an incidence of 7.4% after the Billroth I procedure and of 3.6% after the Billroth II procedure.
The incidence of postoperative malnutrition and the dumping syndrome following subtotal gastric resection also has varied considerably; according to Zollinger approximately 10% of patients have severe symptoms, while Weir and Bennett reported that 23.2% of their series had some degree of these disorders.
An increasing number of reports have
BARBER KW, JUDD ES, STAUFFER MH. Hemigastrectomy and Vagotomy in the Treatment of Complications of Duodenal Ulcer. Arch Surg. 1963;86(5):710-716. doi:10.1001/archsurg.1963.01310110020004