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Type I gastric ulcer treated by parietal cell vagotomy and mucosal ulcerectomy.
J Am Coll Surg. 1996 May; 182(5):388-93.JA

Abstract

BACKGROUND

Type I gastric ulcers occur at the gastric incisura and do not coexist with duodenal or pyloric ulcers. Antrectomy and Billroth I anastomosis are the most frequent operations used for treatment of patients with this lesion.

STUDY DESIGN

Postoperative results, including recurrence, were evaluated in 48 patients with a Type I gastric ulcer who were treated by parietal cell vagotomy and mucosal excision of the ulcer and had a mean follow-up of eight years.

RESULTS

There was no operative mortality and no major operative complications occurred. The patients have had follow-up examination for a mean of eight years. All but four patients were in Visick I and II categories when last examined. Four patients were in category IV because they required a second gastric operation. The cumulative probability of recurrent ulcer rate calculated by life table analysis was 6.5 plus or minus 9.5 (standard error of the mean) percent at nine years.

CONCLUSIONS

Parietal cell vagotomy and ulcerectomy is an excellent operation for patients with Type I gastric ulcers and provides an alternative to antrectomy for patients with this lesion.

Authors+Show Affiliations

Department of Surgery, Baylor College of Medicine, Houston, TX, USA.

Pub Type(s)

Journal Article
Research Support, U.S. Gov't, Non-P.H.S.

Language

eng

PubMed ID

8620273

Citation

Jordan, P H.. "Type I Gastric Ulcer Treated By Parietal Cell Vagotomy and Mucosal Ulcerectomy." Journal of the American College of Surgeons, vol. 182, no. 5, 1996, pp. 388-93.
Jordan PH. Type I gastric ulcer treated by parietal cell vagotomy and mucosal ulcerectomy. J Am Coll Surg. 1996;182(5):388-93.
Jordan, P. H. (1996). Type I gastric ulcer treated by parietal cell vagotomy and mucosal ulcerectomy. Journal of the American College of Surgeons, 182(5), 388-93.
Jordan PH. Type I Gastric Ulcer Treated By Parietal Cell Vagotomy and Mucosal Ulcerectomy. J Am Coll Surg. 1996;182(5):388-93. PubMed PMID: 8620273.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Type I gastric ulcer treated by parietal cell vagotomy and mucosal ulcerectomy. A1 - Jordan,P H,Jr PY - 1996/5/1/pubmed PY - 2001/3/28/medline PY - 1996/5/1/entrez SP - 388 EP - 93 JF - Journal of the American College of Surgeons JO - J Am Coll Surg VL - 182 IS - 5 N2 - BACKGROUND: Type I gastric ulcers occur at the gastric incisura and do not coexist with duodenal or pyloric ulcers. Antrectomy and Billroth I anastomosis are the most frequent operations used for treatment of patients with this lesion. STUDY DESIGN: Postoperative results, including recurrence, were evaluated in 48 patients with a Type I gastric ulcer who were treated by parietal cell vagotomy and mucosal excision of the ulcer and had a mean follow-up of eight years. RESULTS: There was no operative mortality and no major operative complications occurred. The patients have had follow-up examination for a mean of eight years. All but four patients were in Visick I and II categories when last examined. Four patients were in category IV because they required a second gastric operation. The cumulative probability of recurrent ulcer rate calculated by life table analysis was 6.5 plus or minus 9.5 (standard error of the mean) percent at nine years. CONCLUSIONS: Parietal cell vagotomy and ulcerectomy is an excellent operation for patients with Type I gastric ulcers and provides an alternative to antrectomy for patients with this lesion. SN - 1072-7515 UR - https://www.unboundmedicine.com/medline/citation/8620273/Type_I_gastric_ulcer_treated_by_parietal_cell_vagotomy_and_mucosal_ulcerectomy_ DB - PRIME DP - Unbound Medicine ER -