Prospective randomized multicentre trial of proximal gastric vagotomy or truncal vagotomy and antrectomy for chronic duodenal ulcer: interim results
| Autor: | N. J. Dorricott, H. Muller, B. C. de Vries, J Spencer, J. Alexander‐Williams, W. M. Cooke, C. M. S. Royston, A. R. McNeish |
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| Rok vydání: | 1978 |
| Předmět: |
Male
medicine.medical_specialty Proximal Gastric Vagotomy Clinical Trials as Topic business.industry Chronic duodenal ulcer Vagotomy Gastroenterology law.invention Surgery Postoperative Complications Randomized controlled trial law Recurrence Recurrent ulcer Internal medicine Truncal vagotomy Duodenal Ulcer Chronic Disease Pyloric Antrum Medicine Humans Female business |
| Zdroj: | The British journal of surgery. 65(3) |
| ISSN: | 0007-1323 |
| Popis: | In three centres, 222 patients (Birmingham 70, London 87 and Rotterdam 65 patients) with chronic duodenal ulcer were treated by proximal gastric vagotomy (PGV) (116 patients) or truncal vagotomy and antrectomy (TVA) (106 patients) in a prospective randomized trial. After 1 year 5 recurrent duodenal ulcers (4·3 per cent) have been recorded in the PGV group, compared with 1 (1 per cent) in the TVA group. The reoperation rate was high in both groups–6 after PGV, usually for recurrent ulcer, and 7 afer TVA, mostly for gastric retention. PGV showed a marked superiority in the number of patients with a good clinical result (Visick I or II) at 1 year after operation, i. e. 82 per cent compared with 56 per cent for TVA. |
| Databáze: | OpenAIRE |
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