Tags

Type your tag names separated by a space and hit enter

Proximal gastric vagotomy with suprapyloric mucosal antrectomy for duodenal ulcer.
Acta Chir Scand. 1977; 143(3):163-6.AC

Abstract

The feasibility of doing proximal gastric vagotomy with suprapyloric mucosal antrectomy for duodenal ulcer was investigated in a pilot study of seven patients. The aim was to reduce the risk of recurrent duodenal ulcer after proximal gastric vagotomy without causing a simultaneous increase of the risk of dumping and diarrhoea. The patients were subjected to pre- and early postoperative gastric secretory tests, radiologic and endoscopic examinations of gastric motility 2 months later, and a clinical follow-up 1 year after the operation. Basal and maximum acid secretion was reduced by 86 and 70% in average in 6 patients. One patient developed mild dumping. Neither recurrent duodenal ulcer nor diarrhoea was accounted. However, 3 patients developed severe gastric stasis and 2 of these had to be reoperated, one having an anastomotic ulcer between fundic and suprapyloric mucosa. The results of this rather timeconsuming and tedious operation did not encourage further trial, but suggested proximal gastric vagotomy alone as being the operation of choice for duodenal ulcer without pyloric or duodenal stenosis.

Authors

No affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

920013

Citation

Kronborg, O. "Proximal Gastric Vagotomy With Suprapyloric Mucosal Antrectomy for Duodenal Ulcer." Acta Chirurgica Scandinavica, vol. 143, no. 3, 1977, pp. 163-6.
Kronborg O. Proximal gastric vagotomy with suprapyloric mucosal antrectomy for duodenal ulcer. Acta Chir Scand. 1977;143(3):163-6.
Kronborg, O. (1977). Proximal gastric vagotomy with suprapyloric mucosal antrectomy for duodenal ulcer. Acta Chirurgica Scandinavica, 143(3), 163-6.
Kronborg O. Proximal Gastric Vagotomy With Suprapyloric Mucosal Antrectomy for Duodenal Ulcer. Acta Chir Scand. 1977;143(3):163-6. PubMed PMID: 920013.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Proximal gastric vagotomy with suprapyloric mucosal antrectomy for duodenal ulcer. A1 - Kronborg,O, PY - 1977/1/1/pubmed PY - 1977/1/1/medline PY - 1977/1/1/entrez SP - 163 EP - 6 JF - Acta chirurgica Scandinavica JO - Acta Chir Scand VL - 143 IS - 3 N2 - The feasibility of doing proximal gastric vagotomy with suprapyloric mucosal antrectomy for duodenal ulcer was investigated in a pilot study of seven patients. The aim was to reduce the risk of recurrent duodenal ulcer after proximal gastric vagotomy without causing a simultaneous increase of the risk of dumping and diarrhoea. The patients were subjected to pre- and early postoperative gastric secretory tests, radiologic and endoscopic examinations of gastric motility 2 months later, and a clinical follow-up 1 year after the operation. Basal and maximum acid secretion was reduced by 86 and 70% in average in 6 patients. One patient developed mild dumping. Neither recurrent duodenal ulcer nor diarrhoea was accounted. However, 3 patients developed severe gastric stasis and 2 of these had to be reoperated, one having an anastomotic ulcer between fundic and suprapyloric mucosa. The results of this rather timeconsuming and tedious operation did not encourage further trial, but suggested proximal gastric vagotomy alone as being the operation of choice for duodenal ulcer without pyloric or duodenal stenosis. SN - 0001-5482 UR - https://www.unboundmedicine.com/medline/citation/920013/Proximal_gastric_vagotomy_with_suprapyloric_mucosal_antrectomy_for_duodenal_ulcer_ DB - PRIME DP - Unbound Medicine ER -