Randomized trial of truncal vagotomy with either pyloroplasty or pyloric dilatation in the surgical management of chronic duodenal ulcer

Author:

Pringle R1,Irving A D1,Longrigg J N1,Wisbey M1

Affiliation:

1. Departments of Surgery and Medical Physics, Ninewells Hospital, Dundee

Abstract

Abstract A randomized trial of 41 patients undergoing truncal vagotomy with pyloroplasty (TV + P) or truncal vagotomy with graded pyloric dilatation (TV + PD) for chronic duodenal ulcer is reported after mean follow-up of 34 months. There was no evidence of gastric stasis in patients who did not have a pyloroplasty. Liquid gastric emptying studies showed an increased rate of gastric emptying postoperatively in patients both with and without pyloroplasty. Overall clinical gradings at review were similar in both groups although there were more patients who were completely symptom free in the group with pyloric dilatation accompanying vagotomy.

Publisher

Oxford University Press (OUP)

Subject

Surgery

Reference10 articles.

1. Supra-diaphragmatic section of the vagus nerves in treatment of duodenal ulcer;Dragstedt;Proc. Soc. Exp. Biol. Med.,1943

2. Follow up of gastric vagotomy alone in the treatment of peptic ulcer;Dragstedt;Gastroenterology,1948

3. Vagotomy and pyloric dilatation in chronic duodenal ulcer;Thomson;Br. Med. J.,1979

4. A New Method of Gastric Drainage Following Truncal Vagotomy

5. Metabolic effects of vagotomy and gastric drainage;Wastell;Postgrad. Med. J.,1967

Cited by 12 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

1. Vagal Nerve Function in Obesity: Therapeutic Implications;World Journal of Surgery;2009-07-18

2. Management of Benign gastric outlet obstruction in the adult patient;Current Surgery;2002-03

3. Laparoscopic Ulcer Surgery;Laparoscopic Surgery;1999

4. Video endoscopic truncal vagotomies without gastric drainage;Surgical Laparoscopy, Endoscopy & Percutaneous Techniques;1997-12-01

5. Laparoscopic Treatment of Duodenal Ulcer by Bilateral Truncal Vagotomy and Endoscopic Balloon Dilatation;Journal of Laparoendoscopic Surgery;1995-02

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3