Long-term follow-up of surgery for duodenal ulcer

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Abstract

230 cases of truncal vagotomy and Finney's pyloroplasty, including both elective and emergency operations for duodenal ulcer, are reviewed. More than half of the cases were of complicated duodenal ulcers. More than a third were over the age of 60. There were only two fatal cases, both elderly emergency cases. Good and excellent results (Visick grades I, II) were obtained in 90% of the cases. Recurrent ulcers were present in 3%, with four patients requiring further surgery. 7% of the patients in this group had side effects, significant enough to be classified as failures (Visick III, IV). One patient required corrective surgery for severe dumping. The results support the view that truncal vagotomy and pyloroplasty is an excellent procedure in the treatment of duodenal ulcer, particularly when there are complications such as bleeding, perforation or stenosis, and for elderly and poor risk patients. The merits of selective and super-selective vagotomy and their precise indications need further clarification by long term studies, as it is not yet clear whether they have any advantages over truncal vagotomy.

Original languageEnglish
Pages (from-to)149-152+192
JournalHarefuah
Volume98
Issue number4
StatePublished - 1980
Externally publishedYes

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