Vagotomy and pyloroplasty for gastric ulcers

Author:

Eastman M C1,Gear M W L1

Affiliation:

1. Gloucestershire Royal Hospital, Gloucester

Abstract

Summary Eighty patients with benign gastric ulcer treated by vagotomy and pyloroplasty in a district general hospital are reviewed. There were no postoperative deaths in the patients undergoing elective surgery but 8 deaths in those undergoing emergency surgery for massive bleeding (38 per cent). Eighty-three per cent of patients had a result that was classed as good or satisfactory. Recurrent gastric ulceration was found in 8 per cent and a tendency to late asymptomatic ulcer recurrence is identified. Careful long term follow-up, including endoscopic re-examination, is advocated for patients undergoing conservative operations for benign gastric ulcer.

Publisher

Oxford University Press (OUP)

Subject

Surgery

Reference24 articles.

1. Facts and heresies about vagotomy;Baron;Surg. Clin. North Am.,1976

2. The aetiology of benign lesser curve gastric ulcer: vagotomy and pyloroplasty in its treatment;Burge;Ann. R. Coll. Surg. Engl.,1966

3. Four-year to eight-year results of vagotomy and simple drainage for benign lesser curve gastric ulcer;Burge;Br. Med. J.,1970

4. Vagotomy and pyloroplasty for gastric ulcer;Clarke;Br. Med. J.,1972

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