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[Surgical treatment of 100 patients with perforated pyloric ulcer. Immediate and follow-up results].
Minerva Chir. 1990 Jun 30; 45(12):835-41.MC

Abstract

The aim of this study was to assess the results of different surgical treatments in 100 patients admitted from 1972 to 1984 with perforated pyloric ulcer. Forty-six patients were treated with simple suture, thirty-two patients underwent high selective vagotomy with pyloroplasty, 13 patients were submitted to truncal vagotomy with pyloroplasty and 9 to gastrectomy. This study has shown that high selective vagotomy and pyloroplasty for perforated pyloric ulcer can be performed as safely as simple closure. The overall clinical results according to the Visick classification were recorded as excellent or very good in 85 per cent of patients treated with high selective vagotomy with pyloroplasty versus 38 per cent with similar results in simple closure patients. We conclude that high selective vagotomy with pyloroplasty is not less effective for treatment of pyloric perforated ulcer than for duodenal ulcer; simple closure should be reserved for patients treated long time after perforation and with advanced age or in patients with serious associated pathology.

Authors+Show Affiliations

Salvini P
Istituto di Chirurgia d'Urgenza, Università degli Studi di Milano.
Sallusti M
No affiliation info available
Papotti R
No affiliation info available
Manenti F
No affiliation info available
Vigorelli M
No affiliation info available

MeSH

AdultAgedAged, 80 and overFemaleFollow-Up StudiesHumansMaleMiddle AgedPeptic Ulcer PerforationPylorusStomach UlcerTime FactorsVagotomyVagotomy, Truncal

Pub Type(s)

Comparative Study
English Abstract
Journal Article

Language

ita

PubMed ID

2250774

Citation

Salvini, P, et al. "[Surgical Treatment of 100 Patients With Perforated Pyloric Ulcer. Immediate and Follow-up Results]." Minerva Chirurgica, vol. 45, no. 12, 1990, pp. 835-41.
Salvini P, Sallusti M, Papotti R, et al. [Surgical treatment of 100 patients with perforated pyloric ulcer. Immediate and follow-up results]. Minerva Chir. 1990;45(12):835-41.
Salvini, P., Sallusti, M., Papotti, R., Manenti, F., & Vigorelli, M. (1990). [Surgical treatment of 100 patients with perforated pyloric ulcer. Immediate and follow-up results]. Minerva Chirurgica, 45(12), 835-41.
Salvini P, et al. [Surgical Treatment of 100 Patients With Perforated Pyloric Ulcer. Immediate and Follow-up Results]. Minerva Chir. 1990 Jun 30;45(12):835-41. PubMed PMID: 2250774.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Surgical treatment of 100 patients with perforated pyloric ulcer. Immediate and follow-up results]. AU - Salvini,P, AU - Sallusti,M, AU - Papotti,R, AU - Manenti,F, AU - Vigorelli,M, PY - 1990/6/30/pubmed PY - 1990/6/30/medline PY - 1990/6/30/entrez SP - 835 EP - 41 JF - Minerva chirurgica JO - Minerva Chir VL - 45 IS - 12 N2 - The aim of this study was to assess the results of different surgical treatments in 100 patients admitted from 1972 to 1984 with perforated pyloric ulcer. Forty-six patients were treated with simple suture, thirty-two patients underwent high selective vagotomy with pyloroplasty, 13 patients were submitted to truncal vagotomy with pyloroplasty and 9 to gastrectomy. This study has shown that high selective vagotomy and pyloroplasty for perforated pyloric ulcer can be performed as safely as simple closure. The overall clinical results according to the Visick classification were recorded as excellent or very good in 85 per cent of patients treated with high selective vagotomy with pyloroplasty versus 38 per cent with similar results in simple closure patients. We conclude that high selective vagotomy with pyloroplasty is not less effective for treatment of pyloric perforated ulcer than for duodenal ulcer; simple closure should be reserved for patients treated long time after perforation and with advanced age or in patients with serious associated pathology. SN - 0026-4733 UR - https://www.unboundmedicine.com/medline/citation/2250774/[Surgical_treatment_of_100_patients_with_perforated_pyloric_ulcer__Immediate_and_follow_up_results]_ DB - PRIME DP - Unbound Medicine ER -