Early results of surgery in patients considered cimetidine failures

Fifty‐two consecutive unselected duodenal ulcer patients (Group 1), who had failed to respond to cimetidine and who subsequently underwent elective vagotomy and drainage, were studied. All patients were symptomatic on cimetidine in full recommended dosage. This group has been compared with another g...

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Veröffentlicht in:British journal of surgery 1984-01, Vol.71 (1), p.67-68
Hauptverfasser: Pickard, W. R., Mackay, C.
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container_title British journal of surgery
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creator Pickard, W. R.
Mackay, C.
description Fifty‐two consecutive unselected duodenal ulcer patients (Group 1), who had failed to respond to cimetidine and who subsequently underwent elective vagotomy and drainage, were studied. All patients were symptomatic on cimetidine in full recommended dosage. This group has been compared with another group of 634 duodenal ulcer patients (Group 2) undergoing elective vagotomy and drainage in the ‘pre‐cimetidine era’. The groups were similar pre‐operatively with regard to age, sex, length of history and maximal acid output. Completeness of vagotomy and amount of acid reduction were similar in the two groups. The incidence of recurrent ulceration was 5 per cent in Group 1 and 5.7 per cent in Group 2. Although, of necessity, follow‐up is shorter in the cimetidine failures (mean 2.3 years), there is nothing to suggest that failure to respond to cimetidine precludes a satisfactory surgical result.
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R.</creatorcontrib><creatorcontrib>Mackay, C.</creatorcontrib><title>Early results of surgery in patients considered cimetidine failures</title><title>British journal of surgery</title><addtitle>Br J Surg</addtitle><description>Fifty‐two consecutive unselected duodenal ulcer patients (Group 1), who had failed to respond to cimetidine and who subsequently underwent elective vagotomy and drainage, were studied. All patients were symptomatic on cimetidine in full recommended dosage. This group has been compared with another group of 634 duodenal ulcer patients (Group 2) undergoing elective vagotomy and drainage in the ‘pre‐cimetidine era’. The groups were similar pre‐operatively with regard to age, sex, length of history and maximal acid output. Completeness of vagotomy and amount of acid reduction were similar in the two groups. The incidence of recurrent ulceration was 5 per cent in Group 1 and 5.7 per cent in Group 2. 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Semiology</topic><topic>Postoperative Complications</topic><topic>Preoperative Care</topic><topic>Pylorus - surgery</topic><topic>Stomach. Duodenum. Small intestine. Colon. Rectum. Anus</topic><topic>Time Factors</topic><topic>Vagotomy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Pickard, W. R.</creatorcontrib><creatorcontrib>Mackay, C.</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>British journal of surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Pickard, W. R.</au><au>Mackay, C.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Early results of surgery in patients considered cimetidine failures</atitle><jtitle>British journal of surgery</jtitle><addtitle>Br J Surg</addtitle><date>1984-01</date><risdate>1984</risdate><volume>71</volume><issue>1</issue><spage>67</spage><epage>68</epage><pages>67-68</pages><issn>0007-1323</issn><eissn>1365-2168</eissn><coden>BJSUAM</coden><abstract>Fifty‐two consecutive unselected duodenal ulcer patients (Group 1), who had failed to respond to cimetidine and who subsequently underwent elective vagotomy and drainage, were studied. All patients were symptomatic on cimetidine in full recommended dosage. This group has been compared with another group of 634 duodenal ulcer patients (Group 2) undergoing elective vagotomy and drainage in the ‘pre‐cimetidine era’. The groups were similar pre‐operatively with regard to age, sex, length of history and maximal acid output. Completeness of vagotomy and amount of acid reduction were similar in the two groups. The incidence of recurrent ulceration was 5 per cent in Group 1 and 5.7 per cent in Group 2. Although, of necessity, follow‐up is shorter in the cimetidine failures (mean 2.3 years), there is nothing to suggest that failure to respond to cimetidine precludes a satisfactory surgical result.</abstract><cop>Bristol</cop><pub>John Wiley &amp; Sons, Ltd</pub><pmid>6360303</pmid><doi>10.1002/bjs.1800710122</doi><tpages>2</tpages></addata></record>
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subjects Adult
Biological and medical sciences
Cimetidine - therapeutic use
Drainage
Duodenal ulcer
Duodenal Ulcer - drug therapy
Duodenal Ulcer - physiopathology
Duodenal Ulcer - surgery
Female
Gastric Acid - metabolism
Gastroenterology. Liver. Pancreas. Abdomen
Gastroenterostomy
histamine H2 receptor blockaders
Humans
Insulin
Male
Medical sciences
Other diseases. Semiology
Postoperative Complications
Preoperative Care
Pylorus - surgery
Stomach. Duodenum. Small intestine. Colon. Rectum. Anus
Time Factors
Vagotomy
title Early results of surgery in patients considered cimetidine failures
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