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Proximal Gastric vagotomy without drainage for treatment of perforated duodenal ulcer.
Gastroenterology. 1982 Jul; 83(1 Pt 2):179-83.G

Abstract

One hundred and nine patients with perforated duodenal ulcer were treated by operation between 1973 and 1980. The operations performed included simple closure in 37 patients, vagotomy and drainage or gastric resection in 12 patients, and proximal gastric vagotomy without drainage and with omental patch of the perforation in 60 patients. Patients who were treated by proximal gastric vagotomy have been observed for 1-8 yr and form the basis of this study. There was no operative mortality. One patient with a postoperative infection required secondary drainage and a second patient with intestinal obstruction required lysis of adhesions. There were no other important complications. Persistent mild dumping occurred in 1 patient. Diarrhea was not a complication for any patient. One patient developed a recurrent ulcer and underwent truncal vagotomy and pyloroplasty. All patients except the patient with a recurrent ulcer had a Visick grading or I or II. Proximal gastric vagotomy, omental patch of the ulcer, and no drainage procedure is the ideal operation for patients who are candidates for definitive treatment of a perforated duodenal ulcer.

Authors

No affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

7084602

Citation

Jordan, P H.. "Proximal Gastric Vagotomy Without Drainage for Treatment of Perforated Duodenal Ulcer." Gastroenterology, vol. 83, no. 1 Pt 2, 1982, pp. 179-83.
Jordan PH. Proximal Gastric vagotomy without drainage for treatment of perforated duodenal ulcer. Gastroenterology. 1982;83(1 Pt 2):179-83.
Jordan, P. H. (1982). Proximal Gastric vagotomy without drainage for treatment of perforated duodenal ulcer. Gastroenterology, 83(1 Pt 2), 179-83.
Jordan PH. Proximal Gastric Vagotomy Without Drainage for Treatment of Perforated Duodenal Ulcer. Gastroenterology. 1982;83(1 Pt 2):179-83. PubMed PMID: 7084602.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Proximal Gastric vagotomy without drainage for treatment of perforated duodenal ulcer. A1 - Jordan,P H,Jr PY - 1982/7/1/pubmed PY - 2001/3/28/medline PY - 1982/7/1/entrez SP - 179 EP - 83 JF - Gastroenterology JO - Gastroenterology VL - 83 IS - 1 Pt 2 N2 - One hundred and nine patients with perforated duodenal ulcer were treated by operation between 1973 and 1980. The operations performed included simple closure in 37 patients, vagotomy and drainage or gastric resection in 12 patients, and proximal gastric vagotomy without drainage and with omental patch of the perforation in 60 patients. Patients who were treated by proximal gastric vagotomy have been observed for 1-8 yr and form the basis of this study. There was no operative mortality. One patient with a postoperative infection required secondary drainage and a second patient with intestinal obstruction required lysis of adhesions. There were no other important complications. Persistent mild dumping occurred in 1 patient. Diarrhea was not a complication for any patient. One patient developed a recurrent ulcer and underwent truncal vagotomy and pyloroplasty. All patients except the patient with a recurrent ulcer had a Visick grading or I or II. Proximal gastric vagotomy, omental patch of the ulcer, and no drainage procedure is the ideal operation for patients who are candidates for definitive treatment of a perforated duodenal ulcer. SN - 0016-5085 UR - https://www.unboundmedicine.com/medline/citation/7084602/Proximal_Gastric_vagotomy_without_drainage_for_treatment_of_perforated_duodenal_ulcer_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0016508582001425 DB - PRIME DP - Unbound Medicine ER -