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Literature DB >> 907396

Proximal gastric vagotomy compared with vagotomy and antrectomy and selective gastric vagotomy and pyloroplasty.

J L Sawyers, J L Herrington, D P Burney.

Abstract

A prospective, randomized study of proximal gastric vagotomy without drainage (PGV) was done in 174 adult men with chronic duodenal ulcer intractable to medical therapy. PGV was randomized against truncal vagotomy with antrectomy (TV + A) and against selective gastric vagotomy with Finney pyloroplasty (SGV + P). Postgastrectomy sequelae (dumping, diarrhea and reflux gastritis) were less after PGV. One patient after PGV developed a recurrent ulcer as did one patient after SGV + P. Two patients developed gastric ulcers after PGV. Good to excellent results (Visick I and II) were obtained in 96% of patients with PGV, 94% with TV + A and 86% with SGV + P. Follow-up studies were from six months to four years.

Entities: Disease Species

Mesh：

Year: 1977 PMID： 907396 PMCID： PMC1396302 DOI： 10.1097/00000658-197710000-00013

Source DB: PubMed Journal: Ann Surg ISSN： 0003-4932 Impact factor: 12.969

11 in total

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