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Truncal vagotomy and resection in the treatment of duodenal ulcer.
Mayo Clin Proc. 1980 Jan; 55(1):19-24.MC

Abstract

A retrospective analysis was conducted of 466 patients who underwent elective truncal vagotomy with antrectomy or hemigastrectomy for chronic duodenal ulcer. The postoperative (30-day) mortality was 1.1%. In 412 of 466 patients (88.4%), follow-up was obtained, and in 290 patients alive at the writing of this paper, the mean follow-up was 17.1 years; the remaining 54 patients (11.6%) were lost to follow-up. The overall ulcer recurrence rate was 0.7%. Severe postoperative sequelae--postvagotomy diarrhea and postgastrectomy dumping--were uncommon--0.7% and 1.0% of patients, respectively. The combination of truncal vagotomy and gastric resection is a viable alternative in the surgical treatment of chronic duodenal ulcer disease and is the authors' operation of choice for most such patients.

Authors

Hubert JP
No affiliation info available
kiernan PD
No affiliation info available
Beahrs OH
No affiliation info available
ReMine WH
No affiliation info available

MeSH

Body WeightChronic DiseaseDiarrheaDumping SyndromeDuodenal UlcerFemaleHumansJejunumMaleMiddle AgedPostoperative ComplicationsPyloric AntrumRecurrenceRetrospective StudiesStomachVagotomy

Pub Type(s)

Journal Article

Language

eng

PubMed ID

7351861

Citation

Hubert, J P., et al. "Truncal Vagotomy and Resection in the Treatment of Duodenal Ulcer." Mayo Clinic Proceedings, vol. 55, no. 1, 1980, pp. 19-24.
Hubert JP, kiernan PD, Beahrs OH, et al. Truncal vagotomy and resection in the treatment of duodenal ulcer. Mayo Clin Proc. 1980;55(1):19-24.
Hubert, J. P., kiernan, P. D., Beahrs, O. H., & ReMine, W. H. (1980). Truncal vagotomy and resection in the treatment of duodenal ulcer. Mayo Clinic Proceedings, 55(1), 19-24.
Hubert JP, et al. Truncal Vagotomy and Resection in the Treatment of Duodenal Ulcer. Mayo Clin Proc. 1980;55(1):19-24. PubMed PMID: 7351861.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Truncal vagotomy and resection in the treatment of duodenal ulcer. AU - Hubert,J P,Jr AU - kiernan,P D, AU - Beahrs,O H, AU - ReMine,W H, PY - 1980/1/1/pubmed PY - 2001/3/28/medline PY - 1980/1/1/entrez SP - 19 EP - 24 JF - Mayo Clinic proceedings JO - Mayo Clin Proc VL - 55 IS - 1 N2 - A retrospective analysis was conducted of 466 patients who underwent elective truncal vagotomy with antrectomy or hemigastrectomy for chronic duodenal ulcer. The postoperative (30-day) mortality was 1.1%. In 412 of 466 patients (88.4%), follow-up was obtained, and in 290 patients alive at the writing of this paper, the mean follow-up was 17.1 years; the remaining 54 patients (11.6%) were lost to follow-up. The overall ulcer recurrence rate was 0.7%. Severe postoperative sequelae--postvagotomy diarrhea and postgastrectomy dumping--were uncommon--0.7% and 1.0% of patients, respectively. The combination of truncal vagotomy and gastric resection is a viable alternative in the surgical treatment of chronic duodenal ulcer disease and is the authors' operation of choice for most such patients. SN - 0025-6196 UR - https://www.unboundmedicine.com/medline/citation/7351861/Truncal_vagotomy_and_resection_in_the_treatment_of_duodenal_ulcer_ DB - PRIME DP - Unbound Medicine ER -