Bleeding duodenal ulceration: the results of emergency treatment with highly selective vagotomy
| Autor: | D. J. Gillet, R. Brancatisano, J. W. Hollinshead, Gregory L. Falk |
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| Rok vydání: | 1992 |
| Předmět: |
Adult
Male medicine.medical_specialty Emergency treatment Gastroenterology Duodenal ulceration Recurrence Internal medicine medicine Humans Highly selective vagotomy Prospective Studies Prospective cohort study Vagotomy Proximal Gastric Aged Aged 80 and over business.industry General Medicine Middle Aged Surgery Peptic Ulcer Hemorrhage Postoperative mortality Duodenal Ulcer Female Emergencies business Follow-Up Studies |
| Zdroj: | The Australian and New Zealand journal of surgery. 62(9) |
| ISSN: | 0004-8682 |
| Popis: | We report the results of a prospective study of all patients undergoing highly selective vagotomy (HSV) for bleeding duodenal ulceration (BDU) at Concord Hospital between 1979 and 1989. Highly selective vagotomy was undertaken in 63 patients (58 male, 5 female) with a median age of 69 years (range: 16–89). Fifty-five patients were reviewed, 7 patients having died in the peri-operative period and one being lost to follow-up. The mean period to review was 50 months (range: 1–120). Thirty-six patients have been followed-up for more than 24 months. Thirty-day postoperative mortality was 11% (7 patients). Combined major and minor morbidity was 41%. Postoperative rebleeding occurred in four patients (6.3%), three of whom died. Ulceration had recurred in two of 55 patients (4%). Symptoms have been evaluated in 55 patients since operation and 93% have been graded as Visick I or II. We conclude that HSV is effective in the emergency treatment of BDU and has few long-term sequelae. |
| Databáze: | OpenAIRE |
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