Truncal vagotomy and pyloroplasty for non-complicated duodenal ulcer: results 22-26 years after surgery.

Autor:	Cabrol Castaño J; Department of Surgery, Sabadell Hospital (Corporacio Parc Tauli), Sabadell, Barcelona, Spain. 8669jcc@comb.es, Catot Alemany L, García Monforte N, Simó Deu J
Jazyk:	English; Spanish; Castilian
Zdroj:	Revista espanola de enfermedades digestivas : organo oficial de la Sociedad Espanola de Patologia Digestiva [Rev Esp Enferm Dig] 2001 May; Vol. 93 (5), pp. 315-24.
Abstrakt:	Objective: To assess the long-term results of truncal vagotomy and pyloroplasty in patients with non-complicated duodenal ulcer. Patients and Methods: Between 1969 and 1973, 210 patients underwent surgery for non-complicated duodenal ulcer. Of these, 92 were followed up for 22-26 years. In 67 the assessment was conducted at the outpatient consultation and in 25, by phone. Results: In 57% of patients the results were good or very good. Postpandrial fullness, heartburn and diarrhea were reported by 59, 52 and 42% of patients, respectively. Ulcerative recurrence affected 18% of patients. Although the relapsing rate was smaller in women as compared to men (7% versus 20%), physical condition and quality of life after surgery in the latter group were much worse. Thirty-five patients (38%) underwent reoperation. The distribution of patients according to the modified Visick classification after all the reoperations was as follows: I = 22 patients; II = 30 patients; III = 23 patients and IV = 17 patients. Conclusion: Long-term results after surgery for duodenal ulcer were not very encouraging, so we suggest for these patients a medical treatment and just in exceptional cases of refractory ulcers we would recommend a surgical procedure with minimal long-term complications.
Databáze:	MEDLINE
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