| Results of elective duodenal ulcer surgery in women: comparison of truncal vagotomy and antrectomy, gastric selective vagotomy and pyloroplasty, proximal gastric vagotomy. | |
| | |
MedLine Citation:
|
PMID: 646496 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
This study provides a retrospective comparative analysis of results in 90 women patients who underwent three different elective operations for intractable duodenal ulcer disease. Group I (30 patients) underwent truncal vagotomy/antrectomy (TV + A); group II (30 patients) gastric selective vagotomy/pyloroplasty (GSV + P); and Group III proximal gastric vagotomy (PGV). There were no operative deaths among the 90 patients. No patient after TV + A has developed a recurrent ulcer. Two recurrent ulcers developed after GSV + P, and one gastric ulcer occurred after PGV. Dumping, diarrhea, and reflux gastritis were lower after PGV than with TV + A and GSV + P. Follow-up studies have been from six months to ten years. The clinical results among the three groups of women patients compare favorably with results obtained in a recent prospective randomized study using the identical operative procedures in three groups of men patients operated upon for intractability. There was no statistically significant difference between women and men after similar operative procedures, but the postgastrectomy sequelae were less after PGV in both women and men patients. |
| | |
Authors:
|
J L Herrington; J L Sawyers |
Related Documents
:
|
11450366 - The bacterial flora and the changes of the n-nitrosamine concentration in the operated ... 12616516 - Microsurgical treatment of mooren's corneal ulcer. 779056 - Endoscopic evaluation of the effect of ulcerone and placebo on duodenal ulcers. 2307076 - Gastric emptying for solids in patients with duodenal ulcer before and after highly sel... 19728936 - Comparison of epidural steroid injections with conservative management in patients with... 23203596 - Outcomes of endovascular aneurysm repair with 2 different endograft systems with suprar... |
Publication Detail:
|
Type: Clinical Trial; Journal Article; Randomized Controlled Trial |
Journal Detail:
|
Title: Annals of surgery Volume: 187 ISSN: 0003-4932 ISO Abbreviation: Ann. Surg. Publication Date: 1978 May |
Date Detail:
|
Created Date: 1978-06-17 Completed Date: 1978-06-17 Revised Date: 2009-11-18 |
Medline Journal Info:
|
Nlm Unique ID: 0372354 Medline TA: Ann Surg Country: UNITED STATES |
Other Details:
|
Languages: eng Pagination: 576-82 Citation Subset: AIM; IM |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Duodenal Ulcer / physiopathology, surgery* Duodenum / innervation Evaluation Studies as Topic Female Follow-Up Studies Gastrectomy / methods* Gastric Juice / secretion Humans Middle Aged Postoperative Complications Pyloric Antrum / surgery* Recurrence Secretory Rate Sex Factors Stomach Ulcer / complications Vagotomy / methods* |
| Comments/Corrections | |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Reassessment of intraoperative decisions: why operations for cancer of the large bowel fail.
Next Document: The role of peritoneal lavage in severe acute pancreatitis.