| Parietal cell vagotomy without drainage for treatment of duodenal ulcer. A two- to three-year follow-up report. | |
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MedLine Citation:
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PMID: 1259575 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Parietal cell vagotomy (PCV) without drainage was performed on 35 patients. Three patients died during the study from causes unrelated to duodenal ulcer. Thirty-one (97%) of the remaining patients were followed up for two years; 66% have been studied after three years. At the end of two years, the mean basal acid output and peak hourly basal secretion rate were 43% and 47% less than the preoperative values, respectively. The number of patients with a negative insulin test result postoperatively fell from 64% of patients tested at two months to 44% at two years. The number of patients with an early positive insulin test result rose from 13% at two months to 28% at two years after operation. There were two recurrent duodenal ulcers; one required reoperation. A gastric ulcer developed in one patient who was taking massive doses of aspirin; the ulcer healed after aspirin withdrawal. One patient required operation for pyloric obstruction. Both dumping and diarrhea were reported by 7% of patients. These results suggest that PCV without drainage is an acceptable procedure for treatment of duodenal ulcer. |
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Authors:
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P H Jordan |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Archives of surgery (Chicago, Ill. : 1960) Volume: 111 ISSN: 0004-0010 ISO Abbreviation: Arch Surg Publication Date: 1976 Apr |
Date Detail:
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Created Date: 1976-06-02 Completed Date: 1976-06-02 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 9716528 Medline TA: Arch Surg Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 370-6 Citation Subset: AIM; IM |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Body Weight Drainage* Duodenal Ulcer / surgery* Evaluation Studies as Topic Follow-Up Studies Gastric Mucosa / secretion Humans Male Postoperative Complications Pyloric Stenosis / surgery Recurrence Vagotomy* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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