title: Parietal cell vagotomy and omentopexy as definitive surgery for perforated duodenal ulcer.
abstract: We recommend a definitive procedure as initial management for acute perforated duodenal ulcer. In the two patients herein reported, the parietal cell vagotomy with omentopexy and without drainage was performed as a definitive procedure for perforated duodenal ulcer. No wound infection, dumping symptoms or diarrhea occurred in the early postoperative period. Gastrointestinal follow-up study in one patient showed normal passage. These early favorable results with minimal morbidity encourage us to broaden the indications for definitive operation for acute perforation.
mesh_terms: D000328:Adult; D004381:Duodenal Ulcer / Q000601:surgery*; D006801:Humans; D008297:Male; D008722:Methods; D009852:Omentum / Q000601:surgery*; D010439:Peptic Ulcer Perforation / Q000601:surgery*; D014628:Vagotomy