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Early and late results after antrectomy, selective vagotomy and Roux-en-Y reconstruction for severe peptic ulcer disease.
Acta Chir Scand. 1986 May; 152:357-61.AC

Abstract

The Roux-en-Y gastrojejunostomy has become an increasingly used method for gastrointestinal tract reconstruction, and is advocated in the treatment of alkaline reflux gastritis. Since 1979 we have used selective vagotomy, antrectomy and Roux-en-Y reconstruction as the primary method in treating gastric ulcer and complicated duodenal ulcer in 25 patients. In a follow-up study we have evaluated the postoperative course and the long term results. All patients were operated on between 1979 and 1984. Nine patients had a gastric ulcer (GU), 11 a prepyloric ulcer (PPU) and 5 patients had a complicated duodenal ulcer (DU). The clinical results showed a grade Visick I in 48%, Visick II in 44%, Visick III in 4% and a grade Visick IV in 4%. There were no postoperative deaths, but other early complications occurred in 9 patients (36%). At follow-up, endoscopy showed signs of delayed emptying in 5 patients, but only 1 had corresponding symptoms. Mild to moderate symptoms of dumping were found in 1 patient. There was no case of severe diarrhea. The overall results were satisfactory, indicating that selective vagotomy and antrectomy with Roux-en-Y reconstruction is a valuable alternative as a primary method in the surgical treatment of severe peptic ulcer disease.

Authors

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Pub Type(s)

Journal Article

Language

eng

PubMed ID

3739544

Citation

Karlqvist, P A., et al. "Early and Late Results After Antrectomy, Selective Vagotomy and Roux-en-Y Reconstruction for Severe Peptic Ulcer Disease." Acta Chirurgica Scandinavica, vol. 152, 1986, pp. 357-61.
Karlqvist PA, Anderberg B, Olaison G, et al. Early and late results after antrectomy, selective vagotomy and Roux-en-Y reconstruction for severe peptic ulcer disease. Acta Chir Scand. 1986;152:357-61.
Karlqvist, P. A., Anderberg, B., Olaison, G., & Sjödahl, R. (1986). Early and late results after antrectomy, selective vagotomy and Roux-en-Y reconstruction for severe peptic ulcer disease. Acta Chirurgica Scandinavica, 152, 357-61.
Karlqvist PA, et al. Early and Late Results After Antrectomy, Selective Vagotomy and Roux-en-Y Reconstruction for Severe Peptic Ulcer Disease. Acta Chir Scand. 1986;152:357-61. PubMed PMID: 3739544.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Early and late results after antrectomy, selective vagotomy and Roux-en-Y reconstruction for severe peptic ulcer disease. AU - Karlqvist,P A, AU - Anderberg,B, AU - Olaison,G, AU - Sjödahl,R, PY - 1986/5/1/pubmed PY - 1986/5/1/medline PY - 1986/5/1/entrez SP - 357 EP - 61 JF - Acta chirurgica Scandinavica JO - Acta Chir Scand VL - 152 N2 - The Roux-en-Y gastrojejunostomy has become an increasingly used method for gastrointestinal tract reconstruction, and is advocated in the treatment of alkaline reflux gastritis. Since 1979 we have used selective vagotomy, antrectomy and Roux-en-Y reconstruction as the primary method in treating gastric ulcer and complicated duodenal ulcer in 25 patients. In a follow-up study we have evaluated the postoperative course and the long term results. All patients were operated on between 1979 and 1984. Nine patients had a gastric ulcer (GU), 11 a prepyloric ulcer (PPU) and 5 patients had a complicated duodenal ulcer (DU). The clinical results showed a grade Visick I in 48%, Visick II in 44%, Visick III in 4% and a grade Visick IV in 4%. There were no postoperative deaths, but other early complications occurred in 9 patients (36%). At follow-up, endoscopy showed signs of delayed emptying in 5 patients, but only 1 had corresponding symptoms. Mild to moderate symptoms of dumping were found in 1 patient. There was no case of severe diarrhea. The overall results were satisfactory, indicating that selective vagotomy and antrectomy with Roux-en-Y reconstruction is a valuable alternative as a primary method in the surgical treatment of severe peptic ulcer disease. SN - 0001-5482 UR - https://www.unboundmedicine.com/medline/citation/3739544/Early_and_late_results_after_antrectomy_selective_vagotomy_and_Roux_en_Y_reconstruction_for_severe_peptic_ulcer_disease_ DB - PRIME DP - Unbound Medicine ER -