To find out chronological changes of the peptic ulcers treated surgically and late complications according to the operative procedures 512 patients were analysed who received operation for peptic ulcer at the department surgery. Wonkwang
university
school of medicine, from January 1983 to December 1994 Analysis was made for every four year basis, and late complications or 127 patients who could be followed up were reviewed
@Es the results were as follows:
@EN (1) Peptic ulcer operations decreased as 201cases, 158cases, and 153 cases in period 1 (1983-1986), 2 (1987-1990), 3 (1991-1994).
(2) Incidence of gastric ulcer in peptic ulcer decreased form 22.4% in period 1 to 16.3% in period 3
(3) Incidence of operation for hemorrhage decreased gradually from 60% to 32% in gastric ulcer and from 6.4% to 1.6% in duodenal ulcer.
(4) There were no chronogical changes in the sex ratio. Mean age. Symptom duraton, rate of the intraperitoneal free air in perforation case, mortality, and postoperative early complications.
(5) The incidence of the gastric ulcer increased from 11.4% to 40% in the winter, while the incidence of duodenal ulcer decreased from 39.7% to 17.2% in the autumn.
(6) There were little chronological changes in the operative procedures for gastric ulcer. While those for duodenal ulcer had changed form the truncal vagotomy with antrectomy or hemigastrectomy to the truncal vagotomy with antrectomy or
hemigastrectomy to the truncal vagotomy with drainage procedure.
(7) The late complication rates were the highest in the truncal vagotomy with antrectomy or hemigastrectomy (10.2%)
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