title: Selective vagotomy for duodenal ulcer: a five-year follow-up.
abstract: The results for the first 101 consecutive patients who had selective vagotomy and a drainage procedure performed for duodenal ulceration between 1967 and 1971 are presented. Seventy-four patients were followed up for five to nine years, 13 patients were lost to follow-up for part of the five-year period, and 14 patients died during follow-up. Six patients developed recurrent ulcers. Five of these recurrent ulcers were observed in patients in whom the vagotomy was not tested for completeness during the operation; this represents a recurrence rate of 10%. One patient, in whom testing was used at operation, developed a recurrent ulcer; this represents a recurrence rate of 2%. There was a statistically significant difference in the rate of recurrence between the group tested during operation and that not tested.
mesh_terms: D000328:Adult; D004381:Duodenal Ulcer / Q000453:epidemiology / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007328:Insulin; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000453:epidemiology; D012008:Recurrence; D013276:Stomach Ulcer / Q000453:epidemiology; D014628:Vagotomy
chemical_list: D007328:Insulin