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[Selective proximal vagotomy with ulcer excision or Billroth I resection in chronic stomach ulcer. A prospective randomized multicenter study].
Chirurg. 1982 Dec; 53(12):773-7.C

Abstract

In a prospective randomised multicenter study in 41 patients with chronic gastric ulcer type I according to Johnston we compared selective proximal vagotomy (SPV) plus ulcerectomy (21 patients) with a standardised Billroth I gastrectomy (20 patients). The follow-up period was at least 2 years. Preoperative characteristics of both groups did not differ. Intraoperatively, in 5 patients of the SPV group technical problems during dissection of the lesser curvature occurred. The main postoperative complaints were pain and epigastric fullness after SPV and bile vomiting, early dumping or diarrhea after Billroth I gastrectomy. 3 of 21 patients after SPV developed recurrent ulceration, whereas after BI resection no recurrence was observed. This study indicates a higher recurrence rate in gastric ulcer patients after SPV compared to Billroth I gastrectomy.

Authors

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Pub Type(s)

Clinical Trial
English Abstract
Journal Article
Randomized Controlled Trial

Language

ger

PubMed ID

6761096

Citation

Becker, H D., et al. "[Selective Proximal Vagotomy With Ulcer Excision or Billroth I Resection in Chronic Stomach Ulcer. a Prospective Randomized Multicenter Study]." Der Chirurg; Zeitschrift Fur Alle Gebiete Der Operativen Medizen, vol. 53, no. 12, 1982, pp. 773-7.
Becker HD, Lehmann L, Löhlein D, et al. [Selective proximal vagotomy with ulcer excision or Billroth I resection in chronic stomach ulcer. A prospective randomized multicenter study]. Chirurg. 1982;53(12):773-7.
Becker, H. D., Lehmann, L., Löhlein, D., Schumpelick, V., & Troidl, H. (1982). [Selective proximal vagotomy with ulcer excision or Billroth I resection in chronic stomach ulcer. A prospective randomized multicenter study]. Der Chirurg; Zeitschrift Fur Alle Gebiete Der Operativen Medizen, 53(12), 773-7.
Becker HD, et al. [Selective Proximal Vagotomy With Ulcer Excision or Billroth I Resection in Chronic Stomach Ulcer. a Prospective Randomized Multicenter Study]. Chirurg. 1982;53(12):773-7. PubMed PMID: 6761096.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Selective proximal vagotomy with ulcer excision or Billroth I resection in chronic stomach ulcer. A prospective randomized multicenter study]. AU - Becker,H D, AU - Lehmann,L, AU - Löhlein,D, AU - Schumpelick,V, AU - Troidl,H, PY - 1982/12/1/pubmed PY - 1982/12/1/medline PY - 1982/12/1/entrez SP - 773 EP - 7 JF - Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen JO - Chirurg VL - 53 IS - 12 N2 - In a prospective randomised multicenter study in 41 patients with chronic gastric ulcer type I according to Johnston we compared selective proximal vagotomy (SPV) plus ulcerectomy (21 patients) with a standardised Billroth I gastrectomy (20 patients). The follow-up period was at least 2 years. Preoperative characteristics of both groups did not differ. Intraoperatively, in 5 patients of the SPV group technical problems during dissection of the lesser curvature occurred. The main postoperative complaints were pain and epigastric fullness after SPV and bile vomiting, early dumping or diarrhea after Billroth I gastrectomy. 3 of 21 patients after SPV developed recurrent ulceration, whereas after BI resection no recurrence was observed. This study indicates a higher recurrence rate in gastric ulcer patients after SPV compared to Billroth I gastrectomy. SN - 0009-4722 UR - https://www.unboundmedicine.com/medline/citation/6761096/[Selective_proximal_vagotomy_with_ulcer_excision_or_Billroth_I_resection_in_chronic_stomach_ulcer__A_prospective_randomized_multicenter_study]_ DB - PRIME DP - Unbound Medicine ER -