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[Extended parietal cell vagotomy in the treatment of acute perforation of duodenal ulcer in 176 cases].
Zhonghua Wei Chang Wai Ke Za Zhi. 2007 Nov; 10(6):518-20.ZW

Abstract

OBJECTIVE

To evaluate the long-term therapeutic efficacy of extended parietal cell vagotomy (EPCV) in the treatment of duodenal ulcer complicated with acute perforation.

METHODS

Therapeutic efficacy of EPCV in 176 cases subjected to duodenal ulcer with acute perforation since 1979 was evaluated, including postoperative complication, ulcer recurrence rate, gastric empting function, endoscopic and radiographical examination, nutritional status and Visick classification.

RESULTS

Among 176 patients, 153 (86.9%) cases were successfully followed-up for 5 years after operation. No operative death was found. Postprandial superior belly fullness occurred in 13 cases (8.5%) and heartburn in 12 cases (7.8%), which could be relieved by Domperidone. Adhesive ileus was noted in 4 cases (2.6%) which was cured by adhesiolysis. The total ulcer recurrence rate was 2.6% (4 cases) within 2 to 3 years after operation. Superficial gastritis occurred in 21 cases (13.7%) and duodenal bulb in 31 cases (20.3%). Sinus ventriculi vermicular motion was good and gastric emptying was normal. No anemia was found. Body weight gained in 116 cases (75.8%). One hundred and forty-six cases(95.4%) were reforming Visick grade I and II , 3 cases(2.0%) grade III , and 4 cases (2.6%) IV .

CONCLUSIONS

EPCV is convenient for performance with low postoperative complication rate. Its long-term efficacies are quite good, which including normal nutritional status, high quality of life and low ulcer recurrence rate. EPCV is one of effective and safe treatments for duodenal ulcer complicated with acute perforation.

Authors+Show Affiliations

Department of General Surgery, General Hospital of Beijing Command of PLA, Center of Military General Surgery, Beijing, China. lsybz@126.comNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

English Abstract
Journal Article

Language

chi

PubMed ID

18000769

Citation

Li, Shi-Yong, et al. "[Extended Parietal Cell Vagotomy in the Treatment of Acute Perforation of Duodenal Ulcer in 176 Cases]." Zhonghua Wei Chang Wai Ke Za Zhi = Chinese Journal of Gastrointestinal Surgery, vol. 10, no. 6, 2007, pp. 518-20.
Li SY, Liang ZJ, Yuan SJ, et al. [Extended parietal cell vagotomy in the treatment of acute perforation of duodenal ulcer in 176 cases]. Zhonghua Wei Chang Wai Ke Za Zhi. 2007;10(6):518-20.
Li, S. Y., Liang, Z. J., Yuan, S. J., Yu, B., Chen, G., Chen, G., Zuo, F. Y., & Bai, X. (2007). [Extended parietal cell vagotomy in the treatment of acute perforation of duodenal ulcer in 176 cases]. Zhonghua Wei Chang Wai Ke Za Zhi = Chinese Journal of Gastrointestinal Surgery, 10(6), 518-20.
Li SY, et al. [Extended Parietal Cell Vagotomy in the Treatment of Acute Perforation of Duodenal Ulcer in 176 Cases]. Zhonghua Wei Chang Wai Ke Za Zhi. 2007;10(6):518-20. PubMed PMID: 18000769.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Extended parietal cell vagotomy in the treatment of acute perforation of duodenal ulcer in 176 cases]. AU - Li,Shi-Yong, AU - Liang,Zhen-Jia, AU - Yuan,Shu-Jun, AU - Yu,Bo, AU - Chen,Gang, AU - Chen,Guang, AU - Zuo,Fu-Yi, AU - Bai,Xue, PY - 2007/11/15/pubmed PY - 2010/4/7/medline PY - 2007/11/15/entrez SP - 518 EP - 20 JF - Zhonghua wei chang wai ke za zhi = Chinese journal of gastrointestinal surgery JO - Zhonghua Wei Chang Wai Ke Za Zhi VL - 10 IS - 6 N2 - OBJECTIVE: To evaluate the long-term therapeutic efficacy of extended parietal cell vagotomy (EPCV) in the treatment of duodenal ulcer complicated with acute perforation. METHODS: Therapeutic efficacy of EPCV in 176 cases subjected to duodenal ulcer with acute perforation since 1979 was evaluated, including postoperative complication, ulcer recurrence rate, gastric empting function, endoscopic and radiographical examination, nutritional status and Visick classification. RESULTS: Among 176 patients, 153 (86.9%) cases were successfully followed-up for 5 years after operation. No operative death was found. Postprandial superior belly fullness occurred in 13 cases (8.5%) and heartburn in 12 cases (7.8%), which could be relieved by Domperidone. Adhesive ileus was noted in 4 cases (2.6%) which was cured by adhesiolysis. The total ulcer recurrence rate was 2.6% (4 cases) within 2 to 3 years after operation. Superficial gastritis occurred in 21 cases (13.7%) and duodenal bulb in 31 cases (20.3%). Sinus ventriculi vermicular motion was good and gastric emptying was normal. No anemia was found. Body weight gained in 116 cases (75.8%). One hundred and forty-six cases(95.4%) were reforming Visick grade I and II , 3 cases(2.0%) grade III , and 4 cases (2.6%) IV . CONCLUSIONS: EPCV is convenient for performance with low postoperative complication rate. Its long-term efficacies are quite good, which including normal nutritional status, high quality of life and low ulcer recurrence rate. EPCV is one of effective and safe treatments for duodenal ulcer complicated with acute perforation. SN - 1671-0274 UR - https://www.unboundmedicine.com/medline/citation/18000769/[Extended_parietal_cell_vagotomy_in_the_treatment_of_acute_perforation_of_duodenal_ulcer_in_176_cases]_ L2 - http://journal.yiigle.com/LinkIn.do?linkin_type=pubmed&issn=1671-0274&year=2007&vol=10&issue=6&fpage=518 DB - PRIME DP - Unbound Medicine ER -