[Skip to Navigation]
May 1957

The Billroth I and Billroth II Operations: Comparison of Results Six to Ten Years After Operation for Gastric, Duodenal, and Gastrojejunal Ulcers

Author Affiliations

Rochester, Minn.
From the Section of Surgery, Mayo Clinic and Mayo Foundation. The Mayo Foundation, Rochester, Minn., is a part of the Graduate School of the University of Minnesota. Fellow in Surgery, Mayo Foundation (Dr. Lynn).

AMA Arch Surg. 1957;74(5):680-685. doi:10.1001/archsurg.1957.01280110022004

For this study we traced 729 patients (610 men and 119 women) who had undergone gastric resection of the Billroth II type for peptic ulcer 6 to 10 years previously at the Mayo Clinic. In our previously reported long-term follow-up study of the Billroth I operation for peptic ulcer, 185 patients (139 men and 46 women) were followed for 6 to 10 years. We shall contrast the results in the Billroth I series with the results in the Billroth II series reported in this paper. The average amount of stomach resected approximated two-thirds in both series.

Material and Follow-Up  Review of records of alternate patients who underwent a Billroth II operation for peptic ulcer in the years 1945 through 1949 provided 896 cases for this study. Follow-up data were collected by means of questionnaires sent or recent evaluation at the clinic. Follow-up data were available on 729 patients. Of the