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Highly selective vagotomy and truncal vagotomy and pyloroplasty for duodenal ulcer: a clinical review.
Can J Surg. 1979 Mar; 22(2):113-20.CJ

Abstract

A review was conducted of the operations of highly selective vagotomy (HSV) and truncal vagotomy and pyloroplasty (TVP) performed for peptic ulcer disease. Gastric acid output was reduced equally after both procedures: basal acid output was reduced by 80% and maximal acid output by 50% to 60%. Not surprisingly, therefore, the recurrence rates were similar (6.6% after HSV compared to 5.6% after TVP). However, the mortality following HSV was 0% compared with 0.7% after TVP. The incidence of all side effects was lower following HSV, so that the results in 86% of patients who underwent this operation were considered excellent or very good (Visick grades I and II). The authors conclude that HSV should be considered the primary conservative procedure in the surgical management of peptic ulcer disease.

Authors

No affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

376072

Citation

McLeod, R S., and Z Cohen. "Highly Selective Vagotomy and Truncal Vagotomy and Pyloroplasty for Duodenal Ulcer: a Clinical Review." Canadian Journal of Surgery. Journal Canadien De Chirurgie, vol. 22, no. 2, 1979, pp. 113-20.
McLeod RS, Cohen Z. Highly selective vagotomy and truncal vagotomy and pyloroplasty for duodenal ulcer: a clinical review. Can J Surg. 1979;22(2):113-20.
McLeod, R. S., & Cohen, Z. (1979). Highly selective vagotomy and truncal vagotomy and pyloroplasty for duodenal ulcer: a clinical review. Canadian Journal of Surgery. Journal Canadien De Chirurgie, 22(2), 113-20.
McLeod RS, Cohen Z. Highly Selective Vagotomy and Truncal Vagotomy and Pyloroplasty for Duodenal Ulcer: a Clinical Review. Can J Surg. 1979;22(2):113-20. PubMed PMID: 376072.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Highly selective vagotomy and truncal vagotomy and pyloroplasty for duodenal ulcer: a clinical review. AU - McLeod,R S, AU - Cohen,Z, PY - 1979/3/1/pubmed PY - 1979/3/1/medline PY - 1979/3/1/entrez SP - 113 EP - 20 JF - Canadian journal of surgery. Journal canadien de chirurgie JO - Can J Surg VL - 22 IS - 2 N2 - A review was conducted of the operations of highly selective vagotomy (HSV) and truncal vagotomy and pyloroplasty (TVP) performed for peptic ulcer disease. Gastric acid output was reduced equally after both procedures: basal acid output was reduced by 80% and maximal acid output by 50% to 60%. Not surprisingly, therefore, the recurrence rates were similar (6.6% after HSV compared to 5.6% after TVP). However, the mortality following HSV was 0% compared with 0.7% after TVP. The incidence of all side effects was lower following HSV, so that the results in 86% of patients who underwent this operation were considered excellent or very good (Visick grades I and II). The authors conclude that HSV should be considered the primary conservative procedure in the surgical management of peptic ulcer disease. SN - 0008-428X UR - https://www.unboundmedicine.com/medline/citation/376072/Highly_selective_vagotomy_and_truncal_vagotomy_and_pyloroplasty_for_duodenal_ulcer:_a_clinical_review_ L2 - https://www.canjsurg.ca/lookup/pmidlookup?view=long&pmid=376072 DB - PRIME DP - Unbound Medicine ER -