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Extended parietal cell vagotomy in the treatment of perforation, hemorrhage and stenosis due to duodenal ulcer.
Chin Med J (Engl). 1992 Apr; 105(4):289-92.CM

Abstract

Ninety-five patients with perforation, hemorrhage or stenosis due to duodenal ulcer were treated by extended parietal cell vagotomy. Postoperative follow-up ranged from 3.5 to 10 years (mean 6 years) in 88 patients (92%) with acute perforation (60), hemorrhage (8) and stenosis (20). There was no operative mortality. Ulcer recurrence was 2.3%. Only one patient (5%) had restenosis and required reoperation. There was no recurrent hemorrhage and there were few long-term complications. According to the Visick classification, 67 patients (76%) belonged to grade I, 13 (14.7%) grade II, 4 (4.5%) grade III, and 4 (4.5%) grade IV. Extended parietal cell vagotomy proved to be safe with excellent results, low ulcer recurrence and few complications. Moreover, recurrent ulcers healed rapidly following medical therapy. The authors believe that extended parietal cell vagotomy should be the treatment of choice for acute perforation, hemorrhage or stenosis due to duodenal ulcer.

Authors+Show Affiliations

General Hospital, Beijing Unit of PLA.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

1618010

Citation

Li, S Y., et al. "Extended Parietal Cell Vagotomy in the Treatment of Perforation, Hemorrhage and Stenosis Due to Duodenal Ulcer." Chinese Medical Journal, vol. 105, no. 4, 1992, pp. 289-92.
Li SY, An P, Liang ZJ, et al. Extended parietal cell vagotomy in the treatment of perforation, hemorrhage and stenosis due to duodenal ulcer. Chin Med J. 1992;105(4):289-92.
Li, S. Y., An, P., Liang, Z. J., Yuan, S. J., & Yu, J. (1992). Extended parietal cell vagotomy in the treatment of perforation, hemorrhage and stenosis due to duodenal ulcer. Chinese Medical Journal, 105(4), 289-92.
Li SY, et al. Extended Parietal Cell Vagotomy in the Treatment of Perforation, Hemorrhage and Stenosis Due to Duodenal Ulcer. Chin Med J. 1992;105(4):289-92. PubMed PMID: 1618010.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Extended parietal cell vagotomy in the treatment of perforation, hemorrhage and stenosis due to duodenal ulcer. AU - Li,S Y, AU - An,P, AU - Liang,Z J, AU - Yuan,S J, AU - Yu,J, PY - 1992/4/1/pubmed PY - 1992/4/1/medline PY - 1992/4/1/entrez SP - 289 EP - 92 JF - Chinese medical journal JO - Chin. Med. J. VL - 105 IS - 4 N2 - Ninety-five patients with perforation, hemorrhage or stenosis due to duodenal ulcer were treated by extended parietal cell vagotomy. Postoperative follow-up ranged from 3.5 to 10 years (mean 6 years) in 88 patients (92%) with acute perforation (60), hemorrhage (8) and stenosis (20). There was no operative mortality. Ulcer recurrence was 2.3%. Only one patient (5%) had restenosis and required reoperation. There was no recurrent hemorrhage and there were few long-term complications. According to the Visick classification, 67 patients (76%) belonged to grade I, 13 (14.7%) grade II, 4 (4.5%) grade III, and 4 (4.5%) grade IV. Extended parietal cell vagotomy proved to be safe with excellent results, low ulcer recurrence and few complications. Moreover, recurrent ulcers healed rapidly following medical therapy. The authors believe that extended parietal cell vagotomy should be the treatment of choice for acute perforation, hemorrhage or stenosis due to duodenal ulcer. SN - 0366-6999 UR - https://www.unboundmedicine.com/medline/citation/1618010/Extended_parietal_cell_vagotomy_in_the_treatment_of_perforation_hemorrhage_and_stenosis_due_to_duodenal_ulcer_ DB - PRIME DP - Unbound Medicine ER -