Affiliation:
1. General Hospital, Birmimingham
2. Royal Postgraduate Medical School, Hammersmith Hospital, London
3. Academisch Ziekenhuis Dijkzigt, Rotterdam
Abstract
Abstract
In three centres, 222 patients (Birmingham 70, London 87 and Rotterdam 65 patients) with chronic duodenal ulcer were treated by proximal gastric vagotomy (PGV) (116 patients) or truncal vagotomy and antrectomy (TVA) (106 patients) in a prospective randomized trial. After 1 year 5 recurrent duodenal ulcers (4·3 per cent) have been recorded in the PGV group, compared with 1 (1 per cent) in the TVA group. The reoperation rate was high in both groups–6 after PGV, usually for recurrent ulcer, and 7 afer TVA, mostly for gastric retention.
PGV showed a marked superiority in the number of patients with a good clinical result (Visick I or II) at 1 year after operation, i. e. 82 per cent compared with 56 per cent for TVA.
Publisher
Oxford University Press (OUP)
Cited by
49 articles.
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2. In Brief;Current Problems in Surgery;2005-06
3. Peptic Ulcer Disease;Current Problems in Surgery;2005-06
4. One hundred years of surgical science behind the dikes;British Journal of Surgery;2002-06
5. Laparoscopic vagotomy and open pyloroplasty for bleeding duodenal ulcer not controlled endoscopically;Surgical Laparoscopy, Endoscopy & Percutaneous Techniques;1998-04-01