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[Perfection of the method of selective proximal vagotomy and improvement of late-term results of the surgical treatment of duodenal ulcer].
Khirurgiia (Mosk) 1991; (11):101-9K

Abstract

In the period from 1985 to Sept. 1990 operations were conducted on 288 patients with duodenal ulcer; 165 of these patients (group I) were treated by selective proximal vagotomy (SPV) by the old method--without extensive mobilization of the cardia, esophagus, and fundus of the stomach; draining operations were used in 97% of patients. A perfected operative method was applied in 123 patients (group II)--besides extensive dissection of the zone of the esophagogastric junction all of them underwent circular esophagomyotomy 2 cm above the cardia and modified fundoplication. The indications for draining operations were limited (51.2% of patients). The results studied in 2.3 patients in follow-up periods of 6 months to 5 years confirmed the advantages of the perfected method of SPV: the number of recurrent ulcers reduced from 11.8% to 1.7%, that of the dumping syndrome from 9.2% to 4.5%, and the incidence of diarrhea from 7.8% to 3.3%. In groups I and II the results were excellent and good in 66.7% and 88.3% of patients, satisfactory in 21.6% and 10.0% of patients, and poor in 11.8% and 1.7% of cases, respectively. Perfection of the SPV method is directly reflected in its results which must be studied in follow-up periods of over 5-10 years for the evaluation to be more objective.

Authors

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Pub Type(s)

Comparative Study
English Abstract
Journal Article

Language

rus

PubMed ID

1779530

Citation

Agaev, B A., et al. "[Perfection of the Method of Selective Proximal Vagotomy and Improvement of Late-term Results of the Surgical Treatment of Duodenal Ulcer]." Khirurgiia, 1991, pp. 101-9.
Agaev BA, Kurbanov FS, Velibekov FS. [Perfection of the method of selective proximal vagotomy and improvement of late-term results of the surgical treatment of duodenal ulcer]. Khirurgiia (Mosk). 1991.
Agaev, B. A., Kurbanov, F. S., & Velibekov, F. S. (1991). [Perfection of the method of selective proximal vagotomy and improvement of late-term results of the surgical treatment of duodenal ulcer]. Khirurgiia, (11), pp. 101-9.
Agaev BA, Kurbanov FS, Velibekov FS. [Perfection of the Method of Selective Proximal Vagotomy and Improvement of Late-term Results of the Surgical Treatment of Duodenal Ulcer]. Khirurgiia (Mosk). 1991;(11)101-9. PubMed PMID: 1779530.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Perfection of the method of selective proximal vagotomy and improvement of late-term results of the surgical treatment of duodenal ulcer]. AU - Agaev,B A, AU - Kurbanov,F S, AU - Velibekov,F S, PY - 1991/11/1/pubmed PY - 1991/11/1/medline PY - 1991/11/1/entrez SP - 101 EP - 9 JF - Khirurgiia JO - Khirurgiia (Mosk) IS - 11 N2 - In the period from 1985 to Sept. 1990 operations were conducted on 288 patients with duodenal ulcer; 165 of these patients (group I) were treated by selective proximal vagotomy (SPV) by the old method--without extensive mobilization of the cardia, esophagus, and fundus of the stomach; draining operations were used in 97% of patients. A perfected operative method was applied in 123 patients (group II)--besides extensive dissection of the zone of the esophagogastric junction all of them underwent circular esophagomyotomy 2 cm above the cardia and modified fundoplication. The indications for draining operations were limited (51.2% of patients). The results studied in 2.3 patients in follow-up periods of 6 months to 5 years confirmed the advantages of the perfected method of SPV: the number of recurrent ulcers reduced from 11.8% to 1.7%, that of the dumping syndrome from 9.2% to 4.5%, and the incidence of diarrhea from 7.8% to 3.3%. In groups I and II the results were excellent and good in 66.7% and 88.3% of patients, satisfactory in 21.6% and 10.0% of patients, and poor in 11.8% and 1.7% of cases, respectively. Perfection of the SPV method is directly reflected in its results which must be studied in follow-up periods of over 5-10 years for the evaluation to be more objective. SN - 0023-1207 UR - https://www.unboundmedicine.com/medline/citation/1779530/[Perfection_of_the_method_of_selective_proximal_vagotomy_and_improvement_of_late_term_results_of_the_surgical_treatment_of_duodenal_ulcer]_ DB - PRIME DP - Unbound Medicine ER -