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Five to nine years' results of selective proximal vagotomy with and without pyloroplasty for duodenal ulcer.
Acta Chir Scand. 1979; 145(4):251-5.AC

Abstract

In a retrospective study the clinical and secretory results of 118 patients operated upon with selective proximal vagotomy (SPV) with or without pyloroplasty for duodenal ulcer were examined. The results of surgery in the two groups, with pyloroplasty or without pyloroplasty, were compared. The recurrence rate was higher, although statistically not significant, for patients operated upon without pyloroplasty (19.2%) than for patients operated upon with pyloroplasty (10.6%). Dumping was significantly more common and more severe after SPV with pyloroplasty than after SPV without pyloroplasty. The acid response to histalog stimulation at follow-up was significantly higher for patients operated upon without pyloroplasty. This study indicates that SPV without pyloroplasty results in less dumping but gives a poorer protection against recurrent ulceration than does SPV with pyloroplasty. Further long-term studies appear to be necessary, however.

Authors

Nilsell K
No affiliation info available

MeSH

AdultAgedDiarrheaDumping SyndromeDuodenal UlcerFemaleFollow-Up StudiesGastric JuiceHumansInsulinMaleMiddle AgedPentagastrinPostoperative ComplicationsPylorusRecurrenceRetrospective StudiesVagotomy

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

494973

Citation

Nilsell, K. "Five to Nine Years' Results of Selective Proximal Vagotomy With and Without Pyloroplasty for Duodenal Ulcer." Acta Chirurgica Scandinavica, vol. 145, no. 4, 1979, pp. 251-5.
Nilsell K. Five to nine years' results of selective proximal vagotomy with and without pyloroplasty for duodenal ulcer. Acta Chir Scand. 1979;145(4):251-5.
Nilsell, K. (1979). Five to nine years' results of selective proximal vagotomy with and without pyloroplasty for duodenal ulcer. Acta Chirurgica Scandinavica, 145(4), 251-5.
Nilsell K. Five to Nine Years' Results of Selective Proximal Vagotomy With and Without Pyloroplasty for Duodenal Ulcer. Acta Chir Scand. 1979;145(4):251-5. PubMed PMID: 494973.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Five to nine years' results of selective proximal vagotomy with and without pyloroplasty for duodenal ulcer. A1 - Nilsell,K, PY - 1979/1/1/pubmed PY - 1979/1/1/medline PY - 1979/1/1/entrez SP - 251 EP - 5 JF - Acta chirurgica Scandinavica JO - Acta Chir Scand VL - 145 IS - 4 N2 - In a retrospective study the clinical and secretory results of 118 patients operated upon with selective proximal vagotomy (SPV) with or without pyloroplasty for duodenal ulcer were examined. The results of surgery in the two groups, with pyloroplasty or without pyloroplasty, were compared. The recurrence rate was higher, although statistically not significant, for patients operated upon without pyloroplasty (19.2%) than for patients operated upon with pyloroplasty (10.6%). Dumping was significantly more common and more severe after SPV with pyloroplasty than after SPV without pyloroplasty. The acid response to histalog stimulation at follow-up was significantly higher for patients operated upon without pyloroplasty. This study indicates that SPV without pyloroplasty results in less dumping but gives a poorer protection against recurrent ulceration than does SPV with pyloroplasty. Further long-term studies appear to be necessary, however. SN - 0001-5482 UR - https://www.unboundmedicine.com/medline/citation/494973/Five_to_nine_years'_results_of_selective_proximal_vagotomy_with_and_without_pyloroplasty_for_duodenal_ulcer_ DB - PRIME DP - Unbound Medicine ER -