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Vagotomy and antrectomy revisited.
Can J Surg. 1990 Oct; 33(5):375-9.CJ

Abstract

A retrospective review of 185 patients who underwent truncal vagotomy and antrectomy for duodenal ulcer disease was carried out to determine the mortality and morbidity of the procedure. There were no deaths within 30 days of operation and only one patient died while in the hospital (0.54%). Twenty-one patients (11.4%) suffered early morbidity, 3 of them requiring a second operation. Follow-up was obtained in 83 patients and averaged 13.5 years. According to Visick's classification 75 patients (90.4%) were in class I or II; 5 patients (6%) were in class III and 3 patients (3.6%) in class IV. A recurrent ulcer developed in 2 of the 83 patients. In contrast, after highly selective vagotomy, the literature supports an unacceptable incidence of recurrent ulcer. Therefore, we must not prematurely cast aside vagotomy and antrectomy; it still remains a safe and acceptable procedure for duodenal ulcer disease.

Authors+Show Affiliations

Department of Surgery, University of Alberta Hospital, Edmonton.No affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

2224656

Citation

Kotwall, C, and H T. Williams. "Vagotomy and Antrectomy Revisited." Canadian Journal of Surgery. Journal Canadien De Chirurgie, vol. 33, no. 5, 1990, pp. 375-9.
Kotwall C, Williams HT. Vagotomy and antrectomy revisited. Can J Surg. 1990;33(5):375-9.
Kotwall, C., & Williams, H. T. (1990). Vagotomy and antrectomy revisited. Canadian Journal of Surgery. Journal Canadien De Chirurgie, 33(5), 375-9.
Kotwall C, Williams HT. Vagotomy and Antrectomy Revisited. Can J Surg. 1990;33(5):375-9. PubMed PMID: 2224656.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Vagotomy and antrectomy revisited. AU - Kotwall,C, AU - Williams,H T, PY - 1990/10/1/pubmed PY - 1990/10/1/medline PY - 1990/10/1/entrez SP - 375 EP - 9 JF - Canadian journal of surgery. Journal canadien de chirurgie JO - Can J Surg VL - 33 IS - 5 N2 - A retrospective review of 185 patients who underwent truncal vagotomy and antrectomy for duodenal ulcer disease was carried out to determine the mortality and morbidity of the procedure. There were no deaths within 30 days of operation and only one patient died while in the hospital (0.54%). Twenty-one patients (11.4%) suffered early morbidity, 3 of them requiring a second operation. Follow-up was obtained in 83 patients and averaged 13.5 years. According to Visick's classification 75 patients (90.4%) were in class I or II; 5 patients (6%) were in class III and 3 patients (3.6%) in class IV. A recurrent ulcer developed in 2 of the 83 patients. In contrast, after highly selective vagotomy, the literature supports an unacceptable incidence of recurrent ulcer. Therefore, we must not prematurely cast aside vagotomy and antrectomy; it still remains a safe and acceptable procedure for duodenal ulcer disease. SN - 0008-428X UR - https://www.unboundmedicine.com/medline/citation/2224656/Vagotomy_and_antrectomy_revisited_ DB - PRIME DP - Unbound Medicine ER -