[Anastomotic ulcer following Whipple's operation with stomach preservation]

Using the method proposed by Traverso and Longmire, a partial duodenopancreatectomy was performed on 18 patients without concomitant gastric resection sparing the bulbus duodeni. It had been reported that the postoperative increase in ulcer formation on the anastomosis could be avoided by a duodenal inhibition of gastric secretion. Since, however, ulcers were found in 7 patients on an average of 13 months following surgery, it must be presumed that the duodenal acid inhibition is not sufficient. For this reason Whipple's operation is again being performed in combination with the subtotal gastric resection.