Literature DB >> 922326

Prospectively randomised trial of proximal gastric vagotomy either with or without pyloroplasty in treatment of uncomplicated duodenal ulcer.

C Wastell, J Colin, T Wilson, E Walker, J Gleeson, R Zeegen.   

Abstract

A consecutive series of 100 men with uncomplicated duodenal ulcer was randomly divided into two groups: one group of 52 underwent proximal gastric vagotomy (PGV), the other group (48) underwent PGV with pyloroplasty (PGVP). Preoperative peak acid output (PAOP) was measured in all patients. Those with a higher preoperative PAOP were significantly more likely to develop recurrent ulceration. Three patients developed recurrent ulceration after PGV and seven after PGVP. Dumping was both more common and more severe after PGVP than PGV. An overall satisfactory result was achieved in 92% after PGV and 81% after PGVP. We conclude that combining pyloroplasty with PGV has no appreciable advantages.

Entities:  

Mesh：

Year:  1977        PMID： 922326      PMCID： PMC1631664          DOI： 10.1136/bmj.2.6091.851

Source DB:  PubMed          Journal:  Br Med J        ISSN： 0007-1447


  15 in total

1.  Proceedings: Interim results of prospective randomized trial of highly selective vagotomy versus a more proximal type of gastric vagotomy for duodenal ulcer: clinical and secretory findings.

Authors:  P J Lyndon; D Johnston; M J Greenall; A Bakran; J C Goligher
Journal:  Gut       Date:  1975-10       Impact factor: 23.059

2.  Proximal gastric vagotomy: interim results of a randomized controlled trial.

Authors:  T Kennedy; G W Johnston; K D Macrae; A F Anne Spencer
Journal:  Br Med J       Date:  1975-05-10

3.  Selection of operation for duodenal ulcer based on acid secretory studies--a reappraisal.

Authors:  J V Robbs; S Bank; I N Marks; J H Louw
Journal:  Br J Surg       Date:  1973-08       Impact factor: 6.939

4.  Clinical results of parietal cell vagotomy (highly selective vagotomy) two to four years after operation.

Authors:  E Amdrup; H E Jensen; D Johnston; B E Walker; J C Goligher
Journal:  Ann Surg       Date:  1974-09       Impact factor: 12.969

5.  Early results of the treatment of duodenal ulcer by ultraselective vagotomy without drainage.

Authors:  G Grassi; C Orecchia; B Sbuelz; G B Grassi
Journal:  Surg Gynecol Obstet       Date:  1973-05

6.  Clinical results of selective proximal vagotomy (S.P.V.) in gastro-duodenal-ulcer (GDU). A 7-years follow-up-study of 732 cases.

Authors:  F Holle; H Bauer; G Holle; B Konz; J Lissner; E Wünsch
Journal:  Langenbecks Arch Chir       Date:  1972

7.  A controlled, randomized trial of highly selective vagotomy versus selective vagotomy and pyloroplasty in the treatment of duodenal ulcer.

Authors:  O Kronborg; P Madsen
Journal:  Gut       Date:  1975-04       Impact factor: 23.059

8.  Parietal cell vagotomy without drainage for treatment of duodenal ulcer. A two- to three-year follow-up report.

Authors:  P H Jordan
Journal:  Arch Surg       Date:  1976-04

9.  Relationships between gastric acid secretion and recurrent duodenal ulcer after selective vagotomy and pyloroplasty in men.

Authors:  O Kronborg; P Madsen
Journal:  Scand J Gastroenterol       Date:  1976       Impact factor: 2.423

10.  Gastric acid secretion and risk of recurrence of duodenal ulcer within six to eight years after truncal vagotomy and drainage.

Authors:  O Kronborg
Journal:  Gut       Date:  1974-09       Impact factor: 23.059
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  14 in total

1.  Recurrent peptic ulcers.

Authors:  D Johnston; R L Blackett
Journal:  World J Surg       Date:  1987-06       Impact factor: 3.352

Review 2.  Review of general surgery 1977.

Authors:  H Ellis
Journal:  Postgrad Med J       Date:  1978-06       Impact factor: 2.401

Review 3.  Recent advances in the treatment of duodenal ulcer disease. A surgical perspective.

Authors:  M W Mulholland; H T Debas
Journal:  West J Med       Date:  1987-09

4.  Sequential ultrastructural study of mucosal innervation following parietal cell vagotomy and antrectomy.

Authors:  K A Brackett; A Crocket; S N Joffe
Journal:  Experientia       Date:  1984-08-15

5.  The Aarhus County Vagotomy Trial: trends in the problem of recurrent ulcer after parietal cell vagotomy and selective gastric vagotomy with drainage.

Authors:  D Andersen; E Amdrup; H Høstrup; F H Sørensen
Journal:  World J Surg       Date:  1982-01       Impact factor: 3.352

6.  Parietal cell vagotomy: experience with 114 patients with prepyloric or duodenal ulcer.

Authors:  J W Hollinshead; R C Smith; D J Gillett
Journal:  World J Surg       Date:  1982-09       Impact factor: 3.352

7.  Effects of highly selective vagotomy and additional procedures on gastric emptying in patients with obstructing duodenal ulcer.

Authors:  C S Wang; K Y Tzen; P C Chen; M F Chen
Journal:  World J Surg       Date:  1994 Jan-Feb       Impact factor: 3.352

8.  Recurrences 1 to 10 years after highly selective vagotomy in prepyloric and duodenal ulcer disease. Frequency, pattern, and predictors.

Authors:  H O Adami; L K Enander; L Enskog; C Ingvar; B Rydberg
Journal:  Ann Surg       Date:  1984-04       Impact factor: 12.969

Review 9.  Complications associated with ulcer recurrence following gastric surgery for ulcer disease.

Authors:  J G Penston; E J Boyd; K G Wormsley
Journal:  Gastroenterol Jpn       Date:  1992-02

10.  Proximal gastric vagotomy, truncal vagotomy with drainage, and truncal vagotomy with antrectomy for chronic duodenal ulcer. A prospective, randomized controlled trial.

Authors:  J Koo; S K Lam; P Chan; N W Lee; P Lam; J Wong; G B Ong
Journal:  Ann Surg       Date:  1983-03       Impact factor: 12.969
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