Affiliation:
1. University Surgical Unit, Royal Infirmary, Sheffield S6 3DA
Abstract
Abstract
Fifty-six patients with benign gastric ulcer of the body of the stomach have been entered into a randomized trial of highly selective vagotomy with excision of the ulcer (HSVE) (26 cases) against standard Billroth I partial gastrectomy (BI) (30 cases). The operations were carried out by all grades of surgical staff. No patient died within 1 month of operation. Postoperative morbidity was greater after gastrectomy than after HSVE. At an average follow-up of about 4 years, functional results according to a modified Visick classification were similar in both groups, with about 75 per cent good results. Two recurrent ulcers occurred after gastrectomy (7 per cent) and 4 after HSVE (15 per cent). Neither operation has a distinct advantage at this stage.
Publisher
Oxford University Press (OUP)
Reference13 articles.
1. Selective vagotomy of the parietal cell mass preserving innervation of the undrained antrum;Amdrup;Gastroenterology,1970
2. Gastric ulcer treated with segmental resection without pyloroplasty;Buhl;Acta Chir. Scand.,1974
3. Gastric ulcer treated by vagotomy, pyloroplasty and ulcerectomy;Daniels;Br. J. Surg.,1973
4. Observer variation in the assessment of results of surgery for peptic ulceration;Dedombal;Gut,1974
5. Vagotomy for gastric ulcer;Duthie;Gut,1970
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