Comparison of highly selective vagotomy with truncal vagotomy and pyloroplasty: results at 8-15 years
| Autor: | N M Koruth, P W Brunt, N. A. Matheson, Kulwinder S. Dua |
|---|---|
| Rok vydání: | 1990 |
| Předmět: |
Adult
Male Reoperation medicine.medical_specialty Time Factors medicine.medical_treatment Gastroenterology Pyloroplasty law.invention Postoperative Complications Randomized controlled trial law Recurrence Vagotomy Truncal Internal medicine Truncal vagotomy medicine Humans Highly selective vagotomy Prospective Studies Prospective cohort study Vagotomy Proximal Gastric Pylorus business.industry Consumer Behavior Vagotomy Surgery Duodenal ulcer Early results Duodenal Ulcer Female business Follow-Up Studies |
| Zdroj: | The British journal of surgery. 77(1) |
| ISSN: | 0007-1323 |
| Popis: | In 1983 we reported the early results (mean 5 years) of a prospective randomized comparison of highly selective vagotomy (HSV) with truncal vagotomy and pyloroplasty (TVP) where all 137 operations were performed by the same surgeon. HSV was significantly better than TVP in terms of Visick grading and side-effects. The same patients were assessed at a mean of 12 years (range 8–15 years) after operation. There was no difference on assessment using Visick grading between TVP (59 patients) and HSV (57 patients) (grades I and II, 75per cent in each case). However, 20per cent of TVP patients (but none of the HSV patients) had undergone reoperation in the intervening period. The endoscopically proven recurrence rate was 7per cent after TVP and 5per cent after HSV. This long-term follow-up supports the optimism that HSV is a better operation than TVP in the elective treatment of duodenal ulcer. |
| Databáze: | OpenAIRE |
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