Highly selective vagotomy in duodenal ulceration and its complications: a 12 year review
Highly selective vagotomy (HSV) was performed in 509 patients over 12 years for the surgical management of duodenal ulceration; 103 HSVs were carried out during the treatment of complications. The overall rate of ulcer recurrence was 7%, ranging from 10% in the first 4 years to 4% in the 6 years bet...
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| Veröffentlicht in: | Annals of surgery 1984-08, Vol.200 (2), p.181-184 |
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| creator | GOREY, T. F LENNON, F HEFFERMAN, S. J |
| description | Highly selective vagotomy (HSV) was performed in 509 patients over 12 years for the surgical management of duodenal ulceration; 103 HSVs were carried out during the treatment of complications. The overall rate of ulcer recurrence was 7%, ranging from 10% in the first 4 years to 4% in the 6 years between 1975 and 1980. Highly selective vagotomy was performed in addition to closure of a perforated ulcer in 16 patients, with no recurrent ulcers or re-perforations. After the control of their bleeding duodenal ulcers, 25 patients had HSV with no rebleeding, although two patients had recurrent ulceration. Highly selective vagotomy was performed in 62 patients with stenosis in addition to dilatation (44) or duodenoplasty (18). There was a high incidence of recurrent ulceration (7) and stenosis (9) with digital dilatation while duodenoplasty gave better results with one recurrent stenosis and no recurrent ulceration. The authors conclude that HSV is justified by its late results as a definitive operation in chronic duodenal ulceration that allows preservation of the pylorus during surgery for complications. |
| doi_str_mv | 10.1097/00000658-198408000-00011 |
| format | Article |
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F ; LENNON, F ; HEFFERMAN, S. J</creator><creatorcontrib>GOREY, T. F ; LENNON, F ; HEFFERMAN, S. J</creatorcontrib><description>Highly selective vagotomy (HSV) was performed in 509 patients over 12 years for the surgical management of duodenal ulceration; 103 HSVs were carried out during the treatment of complications. The overall rate of ulcer recurrence was 7%, ranging from 10% in the first 4 years to 4% in the 6 years between 1975 and 1980. Highly selective vagotomy was performed in addition to closure of a perforated ulcer in 16 patients, with no recurrent ulcers or re-perforations. After the control of their bleeding duodenal ulcers, 25 patients had HSV with no rebleeding, although two patients had recurrent ulceration. Highly selective vagotomy was performed in 62 patients with stenosis in addition to dilatation (44) or duodenoplasty (18). There was a high incidence of recurrent ulceration (7) and stenosis (9) with digital dilatation while duodenoplasty gave better results with one recurrent stenosis and no recurrent ulceration. The authors conclude that HSV is justified by its late results as a definitive operation in chronic duodenal ulceration that allows preservation of the pylorus during surgery for complications.</description><identifier>ISSN: 0003-4932</identifier><identifier>EISSN: 1528-1140</identifier><identifier>DOI: 10.1097/00000658-198408000-00011</identifier><identifier>PMID: 6331803</identifier><identifier>CODEN: ANSUA5</identifier><language>eng</language><publisher>Hagerstown, MD: Lippincott</publisher><subject>Adolescent ; Adult ; Aged ; Biological and medical sciences ; Chronic Disease ; Dilatation - methods ; Duodenal Ulcer - complications ; Duodenal Ulcer - surgery ; Duodenum - surgery ; Female ; Gastroenterology. Liver. Pancreas. Abdomen ; Gastrointestinal Hemorrhage - etiology ; Gastrointestinal Hemorrhage - surgery ; Humans ; Male ; Medical sciences ; Middle Aged ; Other diseases. Semiology ; Peptic Ulcer Perforation - surgery ; Pyloric Stenosis - etiology ; Pyloric Stenosis - surgery ; Recurrence ; Reoperation ; Stomach. Duodenum. Small intestine. Colon. Rectum. 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F</creatorcontrib><creatorcontrib>LENNON, F</creatorcontrib><creatorcontrib>HEFFERMAN, S. J</creatorcontrib><title>Highly selective vagotomy in duodenal ulceration and its complications: a 12 year review</title><title>Annals of surgery</title><addtitle>Ann Surg</addtitle><description>Highly selective vagotomy (HSV) was performed in 509 patients over 12 years for the surgical management of duodenal ulceration; 103 HSVs were carried out during the treatment of complications. The overall rate of ulcer recurrence was 7%, ranging from 10% in the first 4 years to 4% in the 6 years between 1975 and 1980. Highly selective vagotomy was performed in addition to closure of a perforated ulcer in 16 patients, with no recurrent ulcers or re-perforations. After the control of their bleeding duodenal ulcers, 25 patients had HSV with no rebleeding, although two patients had recurrent ulceration. Highly selective vagotomy was performed in 62 patients with stenosis in addition to dilatation (44) or duodenoplasty (18). There was a high incidence of recurrent ulceration (7) and stenosis (9) with digital dilatation while duodenoplasty gave better results with one recurrent stenosis and no recurrent ulceration. The authors conclude that HSV is justified by its late results as a definitive operation in chronic duodenal ulceration that allows preservation of the pylorus during surgery for complications.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Chronic Disease</subject><subject>Dilatation - methods</subject><subject>Duodenal Ulcer - complications</subject><subject>Duodenal Ulcer - surgery</subject><subject>Duodenum - surgery</subject><subject>Female</subject><subject>Gastroenterology. Liver. Pancreas. Abdomen</subject><subject>Gastrointestinal Hemorrhage - etiology</subject><subject>Gastrointestinal Hemorrhage - surgery</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Other diseases. Semiology</subject><subject>Peptic Ulcer Perforation - surgery</subject><subject>Pyloric Stenosis - etiology</subject><subject>Pyloric Stenosis - surgery</subject><subject>Recurrence</subject><subject>Reoperation</subject><subject>Stomach. Duodenum. Small intestine. Colon. Rectum. Anus</subject><subject>Vagotomy - adverse effects</subject><subject>Vagotomy, Proximal Gastric - adverse effects</subject><issn>0003-4932</issn><issn>1528-1140</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1984</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpVUcGKFDEQDaKs4-onCDmIt9ZUku5JPAiyqCsseFHwFqrT1bORdGdMukfm783ujoMGQqj3Xr2q8BjjIN6AsNu34u50rWnAGi1MLZp6AR6xDbSywqDFY7apmGq0VfIpe1bKz6rQRmwv2EWnFBihNuzHddjdxiMvFMkv4UD8gLu0pOnIw8yHNQ00Y-Rr9JRxCWnmOA88LIX7NO1j8PdgeceRg-RHwswzHQL9fs6ejBgLvTi9l-z7p4_frq6bm6-fv1x9uGm8UnZptl2PYtCSWugJx96Cll39InjEAcYe2057UGYY1eAVUCu7zpIFq6GXnlBdsvcPvvu1n2jwNC8Zo9vnMGE-uoTB_c_M4dbt0sGBbIXWshq8Phnk9GulsrgpFE8x4kxpLc4AWGVFV4XmQehzKiXTeB4Cwt2l4v6m4s6puPtUauvLf5c8N55iqPyrE4_FYxwzzj6Us8wYW-1a9QejBpZn</recordid><startdate>19840801</startdate><enddate>19840801</enddate><creator>GOREY, T. F</creator><creator>LENNON, F</creator><creator>HEFFERMAN, S. J</creator><general>Lippincott</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>19840801</creationdate><title>Highly selective vagotomy in duodenal ulceration and its complications: a 12 year review</title><author>GOREY, T. F ; LENNON, F ; HEFFERMAN, S. J</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c339t-76ba0d42e51beafb914261091caad1fba564c138df3dc31e52669e91941b2cea3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1984</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Chronic Disease</topic><topic>Dilatation - methods</topic><topic>Duodenal Ulcer - complications</topic><topic>Duodenal Ulcer - surgery</topic><topic>Duodenum - surgery</topic><topic>Female</topic><topic>Gastroenterology. Liver. Pancreas. Abdomen</topic><topic>Gastrointestinal Hemorrhage - etiology</topic><topic>Gastrointestinal Hemorrhage - surgery</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Other diseases. Semiology</topic><topic>Peptic Ulcer Perforation - surgery</topic><topic>Pyloric Stenosis - etiology</topic><topic>Pyloric Stenosis - surgery</topic><topic>Recurrence</topic><topic>Reoperation</topic><topic>Stomach. Duodenum. Small intestine. Colon. Rectum. Anus</topic><topic>Vagotomy - adverse effects</topic><topic>Vagotomy, Proximal Gastric - adverse effects</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>GOREY, T. F</creatorcontrib><creatorcontrib>LENNON, F</creatorcontrib><creatorcontrib>HEFFERMAN, S. J</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Annals of surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>GOREY, T. F</au><au>LENNON, F</au><au>HEFFERMAN, S. J</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Highly selective vagotomy in duodenal ulceration and its complications: a 12 year review</atitle><jtitle>Annals of surgery</jtitle><addtitle>Ann Surg</addtitle><date>1984-08-01</date><risdate>1984</risdate><volume>200</volume><issue>2</issue><spage>181</spage><epage>184</epage><pages>181-184</pages><issn>0003-4932</issn><eissn>1528-1140</eissn><coden>ANSUA5</coden><abstract>Highly selective vagotomy (HSV) was performed in 509 patients over 12 years for the surgical management of duodenal ulceration; 103 HSVs were carried out during the treatment of complications. The overall rate of ulcer recurrence was 7%, ranging from 10% in the first 4 years to 4% in the 6 years between 1975 and 1980. Highly selective vagotomy was performed in addition to closure of a perforated ulcer in 16 patients, with no recurrent ulcers or re-perforations. After the control of their bleeding duodenal ulcers, 25 patients had HSV with no rebleeding, although two patients had recurrent ulceration. Highly selective vagotomy was performed in 62 patients with stenosis in addition to dilatation (44) or duodenoplasty (18). There was a high incidence of recurrent ulceration (7) and stenosis (9) with digital dilatation while duodenoplasty gave better results with one recurrent stenosis and no recurrent ulceration. The authors conclude that HSV is justified by its late results as a definitive operation in chronic duodenal ulceration that allows preservation of the pylorus during surgery for complications.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott</pub><pmid>6331803</pmid><doi>10.1097/00000658-198408000-00011</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Annals of surgery, 1984-08, Vol.200 (2), p.181-184 |
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| language | eng |
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| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; Journals@Ovid Complete |
| subjects | Adolescent Adult Aged Biological and medical sciences Chronic Disease Dilatation - methods Duodenal Ulcer - complications Duodenal Ulcer - surgery Duodenum - surgery Female Gastroenterology. Liver. Pancreas. Abdomen Gastrointestinal Hemorrhage - etiology Gastrointestinal Hemorrhage - surgery Humans Male Medical sciences Middle Aged Other diseases. Semiology Peptic Ulcer Perforation - surgery Pyloric Stenosis - etiology Pyloric Stenosis - surgery Recurrence Reoperation Stomach. Duodenum. Small intestine. Colon. Rectum. Anus Vagotomy - adverse effects Vagotomy, Proximal Gastric - adverse effects |
| title | Highly selective vagotomy in duodenal ulceration and its complications: a 12 year review |
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