Rothmund M, Pitsch W J, Schicketanz K H
Dtsch Med Wochenschr. 1983 Jun 10;108(23):891-5. doi: 10.1055/s-2008-1069662.
Since 1970 there has been a slight reduction, since 1977 a marked one, in the number of admissions for peptic ulcer at the two medical and the surgical clinics of the University of Mainz. This trend was interrupted by a peak from 1975-77, due to an increase of overall admissions at that time, after vagotomy procedures had been started at the surgical clinic. The reduction in admissions only related to uncomplicated ulcer and the admissions to the surgical clinic. Admissions for ulcer complications and to the medical clinics remained unchanged. The reduction in the number of operations for uncomplicated duodenal ulcer was 62%, for uncomplicated gastric ulcer 60%. Operative mortality rate for the former was 1.6%, for the latter 1.86%, while it was 10-25% for ulcer complications.
自1970年以来,美因茨大学两所内科和外科诊所的消化性溃疡入院人数略有下降,自1977年以来则显著下降。这一趋势在1975 - 1977年出现了一个高峰而中断,当时由于外科诊所开始进行迷走神经切断术后总体入院人数增加。入院人数的减少仅与非复杂性溃疡以及外科诊所的入院情况有关。溃疡并发症的入院人数以及内科诊所的入院人数保持不变。非复杂性十二指肠溃疡的手术例数减少了62%,非复杂性胃溃疡减少了60%。前者的手术死亡率为1.6%,后者为1.86%,而溃疡并发症的手术死亡率为10 - 25%。