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Our First 35 Patients Studied Five Years After Parietal Cell Vagotomy

Our First 35 Patients Studied Five Years After Parietal Cell Vagotomy Abstract • Parietal cell vagotomy without drainage (PCV) was performed on 35 patients. The patients were evaluated at regular intervals for 60 months. A recurrent ulcer developed in four patients. One patient was reoperated on, one patient refused an operation, and in two patients, the ulcers healed and remained healed for four years after withdrawal of ulcerogenic drugs. Another patient was reoperated on for pyloric obstruction. Diarrhea was reported by no more than one patient at any reporting period. The number of patients who reported dumping at the various time periods ranged from two to four. At the time of each patient's last interview, 33 were considered to have excellent or good results. PCV is a safe and effective operation for treatment of duodenal ulcer. Instructions in the technique are necessary to avoid errors that might unnecessarily occur and lead to poor results with first operations. (Arch Surg 114:528-535, 1979) References 1. Johnston D, Wilkinson AR: Selective vagotomy with innervated antrum without drainage procedure for duodenal ulcer . Br J Surg 56:626, 1969.Crossref 2. Kronborg O, Madsen P: A controlled, randomized trial of highly selective vagotomy versus selective vagotomy and pyloroplasty in the treatment of duodenal ulcer . Gut 16:268-271, 1975.Crossref 3. Goligher C, Hill GL, Kenny TE, et al: Proximal gastric vagotomy without drainage for duodenal ulcer: Results after 5-8 years . Br J Surg 65:145-151, 1978.Crossref 4. Andersen D, Høstrup H, Amdrup E: The Aarhus County trial: II. An interim report on reduction in acid secretion and ulcer recurrence rate following parietal cell vagotomy and selective vagotomy . World J Surg 2:91-100, 1978.Crossref 5. Dorricott NJ, McNeish AR, Alexander-Williams J, et al: Prospective randomized multicentre trial of proximal gastric vagotomy or truncal vagotomy and antrectomy for chronic duodenal ulcer: Interim results . Br J Surg 65:152-154, 1978.Crossref 6. Jordan PH Jr: Parietal cell vagotomy without drainage for treatment of duodenal ulcer: A two- to three-year follow-up report . Arch Surg 111:370-376, 1976.Crossref 7. Goligher JC: A technique for highly selective (parietal cell or proximal gastric) vagotomy for duodenal ulcer . Br J Surg 61:337-345, 1974.Crossref 8. Sawyers JL, Herrington JL, Burney DP: Proximal gastric vagotomy randomized with vagotomy and antrectomy and selective gastric vagotomy and pyloroplasty . Ann Surg 186:510-517, 1977.Crossref 9. Amdrup E, Andersen D, Høstrup H: The Aarhus County vagotomy trial: I. An interim report on primary results and incidence of sequelae following parietal cell vagotomy and selective gastric vagotomy in 748 patients . World J Surg 2:85-90, 1978.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

Our First 35 Patients Studied Five Years After Parietal Cell Vagotomy

Archives of Surgery , Volume 114 (4) – Apr 1, 1979

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Publisher
American Medical Association
Copyright
Copyright © 1979 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1979.01370280182031
Publisher site
See Article on Publisher Site

Abstract

Abstract • Parietal cell vagotomy without drainage (PCV) was performed on 35 patients. The patients were evaluated at regular intervals for 60 months. A recurrent ulcer developed in four patients. One patient was reoperated on, one patient refused an operation, and in two patients, the ulcers healed and remained healed for four years after withdrawal of ulcerogenic drugs. Another patient was reoperated on for pyloric obstruction. Diarrhea was reported by no more than one patient at any reporting period. The number of patients who reported dumping at the various time periods ranged from two to four. At the time of each patient's last interview, 33 were considered to have excellent or good results. PCV is a safe and effective operation for treatment of duodenal ulcer. Instructions in the technique are necessary to avoid errors that might unnecessarily occur and lead to poor results with first operations. (Arch Surg 114:528-535, 1979) References 1. Johnston D, Wilkinson AR: Selective vagotomy with innervated antrum without drainage procedure for duodenal ulcer . Br J Surg 56:626, 1969.Crossref 2. Kronborg O, Madsen P: A controlled, randomized trial of highly selective vagotomy versus selective vagotomy and pyloroplasty in the treatment of duodenal ulcer . Gut 16:268-271, 1975.Crossref 3. Goligher C, Hill GL, Kenny TE, et al: Proximal gastric vagotomy without drainage for duodenal ulcer: Results after 5-8 years . Br J Surg 65:145-151, 1978.Crossref 4. Andersen D, Høstrup H, Amdrup E: The Aarhus County trial: II. An interim report on reduction in acid secretion and ulcer recurrence rate following parietal cell vagotomy and selective vagotomy . World J Surg 2:91-100, 1978.Crossref 5. Dorricott NJ, McNeish AR, Alexander-Williams J, et al: Prospective randomized multicentre trial of proximal gastric vagotomy or truncal vagotomy and antrectomy for chronic duodenal ulcer: Interim results . Br J Surg 65:152-154, 1978.Crossref 6. Jordan PH Jr: Parietal cell vagotomy without drainage for treatment of duodenal ulcer: A two- to three-year follow-up report . Arch Surg 111:370-376, 1976.Crossref 7. Goligher JC: A technique for highly selective (parietal cell or proximal gastric) vagotomy for duodenal ulcer . Br J Surg 61:337-345, 1974.Crossref 8. Sawyers JL, Herrington JL, Burney DP: Proximal gastric vagotomy randomized with vagotomy and antrectomy and selective gastric vagotomy and pyloroplasty . Ann Surg 186:510-517, 1977.Crossref 9. Amdrup E, Andersen D, Høstrup H: The Aarhus County vagotomy trial: I. An interim report on primary results and incidence of sequelae following parietal cell vagotomy and selective gastric vagotomy in 748 patients . World J Surg 2:85-90, 1978.Crossref

Journal

Archives of SurgeryAmerican Medical Association

Published: Apr 1, 1979

References

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