Document Detail

Type I gastric ulcer treated by parietal cell vagotomy and mucosal ulcerectomy.
MedLine Citation:
PMID:  8620273     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Type I gastric ulcers occur at the gastric incisura and do not coexist with duodenal or pyloric ulcers. Antrectomy and Billroth I anastomosis are the most frequent operations used for treatment of patients with this lesion. STUDY DESIGN: Postoperative results, including recurrence, were evaluated in 48 patients with a Type I gastric ulcer who were treated by parietal cell vagotomy and mucosal excision of the ulcer and had a mean follow-up of eight years. RESULTS: There was no operative mortality and no major operative complications occurred. The patients have had follow-up examination for a mean of eight years. All but four patients were in Visick I and II categories when last examined. Four patients were in category IV because they required a second gastric operation. The cumulative probability of recurrent ulcer rate calculated by life table analysis was 6.5 plus or minus 9.5 (standard error of the mean) percent at nine years. CONCLUSIONS: Parietal cell vagotomy and ulcerectomy is an excellent operation for patients with Type I gastric ulcers and provides an alternative to antrectomy for patients with this lesion.
P H Jordan
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, Non-P.H.S.    
Journal Detail:
Title:  Journal of the American College of Surgeons     Volume:  182     ISSN:  1072-7515     ISO Abbreviation:  J. Am. Coll. Surg.     Publication Date:  1996 May 
Date Detail:
Created Date:  1996-06-18     Completed Date:  1996-06-18     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9431305     Medline TA:  J Am Coll Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  388-93     Citation Subset:  AIM; IM    
Department of Surgery, Baylor College of Medicine, Houston, TX, USA.
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MeSH Terms
Follow-Up Studies
Gastric Mucosa / surgery
Life Tables
Middle Aged
Postoperative Complications / epidemiology
Pyloric Antrum / surgery
Stomach Ulcer / classification,  epidemiology,  surgery*
Time Factors
Vagotomy, Proximal Gastric*
Comment In:
J Am Coll Surg. 1997 Mar;184(3):336-7   [PMID:  9060935 ]
J Am Coll Surg. 1997 Mar;184(3):337-8   [PMID:  9060936 ]

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