[Changes of acid-producing function of the stomach before and after operation performed for gastric ulcer type I]

The gastric acid-producing function changes were analyzed in 48 patients suffering gastric ulcer (Johnson-I type), using the computer pH-metry. The dependence of the gastric glands acid-production on the ulcer defect localization was established. Hyperchlorhydria was revealed in 84.6% of patients suffering gastric distal third ulcer and in its subcardial localization--in 30.8%. In the late follow-up period after the operation, performed for gastric ulcer disease, the gastric stump capacity to restore its glands production of acid depends mainly on the method of surgical procedure applied. The best indices were revealed after application of organpreserving method--the partial resection of gastric ischemized segment according to L. Ya. Kovahlchuk combined with selective proximal vagotomy, comparing with such after application of resectional methods according to Billroth.