Tags

Type your tag names separated by a space and hit enter

Clinical results 6 to 8 years after truncal vagotomy and drainage for duodenal ulcer in 500 patients.
Acta Chir Scand. 1975; 141(7):657-63.AC

Abstract

The clinical results of truncal vagotomy and drainage for duodenal ulcer in 500 patients are evaluated by a personal 6-8 year follow up. Pyloroplasty was used unless pyloric stenosis made a gastrojejunostomy necessary. Forty-three patients had recurrence (39 were reoperated) and gastric ulcer was seen in five. The rate of dumping was 24% (severe in 3%) and rate of daily-monthly diarrhoea 40% (severe in 8%). Neither dumping nor diarrhoea was related to histamine-activated gastric acid secretion ten days after vagotomy and insulin-activated acid secretion 3 to 4 years later. Dumping was related to epigastric fullness and diarrhoea. Recurrence was related to histamine-activated secretion before and 10 days after vagotomy and to insulin-activated secretion 10 days and 3-4 days after vagotomy. Minor changes were seen in weight- and laboratory-measurements. Anemia was not related to prophylactic intake of iron. Satisfactory results (Visick I-III) were seen in 80% of the patients. The figure may be increased to 86%, including results of operations for recurrence, gastric ulcer and other diseases occurring after the original vagotomy and drainage; even then, the results seem less satisfactory than those after other operations for duodenal ulcer.

Authors

No affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

1211038

Citation

Kronborg, O. "Clinical Results 6 to 8 Years After Truncal Vagotomy and Drainage for Duodenal Ulcer in 500 Patients." Acta Chirurgica Scandinavica, vol. 141, no. 7, 1975, pp. 657-63.
Kronborg O. Clinical results 6 to 8 years after truncal vagotomy and drainage for duodenal ulcer in 500 patients. Acta Chir Scand. 1975;141(7):657-63.
Kronborg, O. (1975). Clinical results 6 to 8 years after truncal vagotomy and drainage for duodenal ulcer in 500 patients. Acta Chirurgica Scandinavica, 141(7), 657-63.
Kronborg O. Clinical Results 6 to 8 Years After Truncal Vagotomy and Drainage for Duodenal Ulcer in 500 Patients. Acta Chir Scand. 1975;141(7):657-63. PubMed PMID: 1211038.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Clinical results 6 to 8 years after truncal vagotomy and drainage for duodenal ulcer in 500 patients. A1 - Kronborg,O, PY - 1975/1/1/pubmed PY - 1975/1/1/medline PY - 1975/1/1/entrez SP - 657 EP - 63 JF - Acta chirurgica Scandinavica JO - Acta Chir Scand VL - 141 IS - 7 N2 - The clinical results of truncal vagotomy and drainage for duodenal ulcer in 500 patients are evaluated by a personal 6-8 year follow up. Pyloroplasty was used unless pyloric stenosis made a gastrojejunostomy necessary. Forty-three patients had recurrence (39 were reoperated) and gastric ulcer was seen in five. The rate of dumping was 24% (severe in 3%) and rate of daily-monthly diarrhoea 40% (severe in 8%). Neither dumping nor diarrhoea was related to histamine-activated gastric acid secretion ten days after vagotomy and insulin-activated acid secretion 3 to 4 years later. Dumping was related to epigastric fullness and diarrhoea. Recurrence was related to histamine-activated secretion before and 10 days after vagotomy and to insulin-activated secretion 10 days and 3-4 days after vagotomy. Minor changes were seen in weight- and laboratory-measurements. Anemia was not related to prophylactic intake of iron. Satisfactory results (Visick I-III) were seen in 80% of the patients. The figure may be increased to 86%, including results of operations for recurrence, gastric ulcer and other diseases occurring after the original vagotomy and drainage; even then, the results seem less satisfactory than those after other operations for duodenal ulcer. SN - 0001-5482 UR - https://www.unboundmedicine.com/medline/citation/1211038/Clinical_results_6_to_8_years_after_truncal_vagotomy_and_drainage_for_duodenal_ulcer_in_500_patients_ DB - PRIME DP - Unbound Medicine ER -