Billroth I gastric resection versus truncal vagotomy and pyloroplasty in the treatment of gastric ulcer.
Forty-five patients with benign gastric ulcers were treated by truncal vagotomy and pyloroplasty or Billroth I gastric resection in a randomized, controlled trial. Postoperatively, one Billroth I patient died. During the follow-up recurrence occurred in three patients treated by vagotomy, but in no Billroth I patient. The overall functional results according to the classification of Visick were slightly, but unsignificantly better after Billroth I than after vagotomy and pyloroplasty.
D000368:Aged; D002986:Clinical Trials as Topic; D005260:Female; D005743:Gastrectomy / Q000379:methods; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000401:mortality; D011708:Pylorus / Q000601:surgery*; D012008:Recurrence; D013276:Stomach Ulcer / Q000601:surgery*; D014628:Vagotomy / Q000379:methods