Tags

Type your tag names separated by a space and hit enter

[The place of selective proximal vagotomy in complicated duodenal ulcers].
Wien Klin Wochenschr 1989; 101(18):615-7WK

Abstract

From 1980 to 1988 417 patients underwent surgery for peptic duodenal ulcer. Complications were present in 217 patients: perforation (40%), bleeding (32%), stenosis (20%) or penetration (8%). Highly selective vagotomy was performed in 67% of all patients. The number of operations for duodenal ulcer decreased (1984 n = 61, 1988 n = 28) due to fewer operations for uncomplicated ulcers, whereas the number of operations for complicated cases remained equal. Mortality after highly selective vagotomy for complicated duodenal ulcer was 5.2%. All fatalities occurred after bleeding. Whereas highly selective vagotomy was performed frequently for stenosing (72%) and bleeding (68%) ulcers it was the exception in perforate duodenal ulcers (13%). A tendency to increased performance of highly selective vagotomy in complicated cases is evident (1981 40%, 1988 70%). A further increase seems possible by using more liberal indications for selective vagotomy in perforated ulcers and by more frequently carrying out preoperative endoscopic hemostasis in bleeding duodenal ulcers.

Authors+Show Affiliations

I. Chirurgische Abteilung, Krankenanstalt Rudolfstiftung, Wien.No affiliation info availableNo affiliation info available

Pub Type(s)

English Abstract
Journal Article

Language

ger

PubMed ID

2815776

Citation

Armbruster, C, et al. "[The Place of Selective Proximal Vagotomy in Complicated Duodenal Ulcers]." Wiener Klinische Wochenschrift, vol. 101, no. 18, 1989, pp. 615-7.
Armbruster C, Dittrich K, Kriwanek S. [The place of selective proximal vagotomy in complicated duodenal ulcers]. Wien Klin Wochenschr. 1989;101(18):615-7.
Armbruster, C., Dittrich, K., & Kriwanek, S. (1989). [The place of selective proximal vagotomy in complicated duodenal ulcers]. Wiener Klinische Wochenschrift, 101(18), pp. 615-7.
Armbruster C, Dittrich K, Kriwanek S. [The Place of Selective Proximal Vagotomy in Complicated Duodenal Ulcers]. Wien Klin Wochenschr. 1989 Sep 29;101(18):615-7. PubMed PMID: 2815776.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [The place of selective proximal vagotomy in complicated duodenal ulcers]. AU - Armbruster,C, AU - Dittrich,K, AU - Kriwanek,S, PY - 1989/9/29/pubmed PY - 1989/9/29/medline PY - 1989/9/29/entrez SP - 615 EP - 7 JF - Wiener klinische Wochenschrift JO - Wien. Klin. Wochenschr. VL - 101 IS - 18 N2 - From 1980 to 1988 417 patients underwent surgery for peptic duodenal ulcer. Complications were present in 217 patients: perforation (40%), bleeding (32%), stenosis (20%) or penetration (8%). Highly selective vagotomy was performed in 67% of all patients. The number of operations for duodenal ulcer decreased (1984 n = 61, 1988 n = 28) due to fewer operations for uncomplicated ulcers, whereas the number of operations for complicated cases remained equal. Mortality after highly selective vagotomy for complicated duodenal ulcer was 5.2%. All fatalities occurred after bleeding. Whereas highly selective vagotomy was performed frequently for stenosing (72%) and bleeding (68%) ulcers it was the exception in perforate duodenal ulcers (13%). A tendency to increased performance of highly selective vagotomy in complicated cases is evident (1981 40%, 1988 70%). A further increase seems possible by using more liberal indications for selective vagotomy in perforated ulcers and by more frequently carrying out preoperative endoscopic hemostasis in bleeding duodenal ulcers. SN - 0043-5325 UR - https://www.unboundmedicine.com/medline/citation/2815776/[The_place_of_selective_proximal_vagotomy_in_complicated_duodenal_ulcers]_ DB - PRIME DP - Unbound Medicine ER -