title: Modified highly selective vagotomy.
abstract: After highly selective vagotomy, the conversion to a positive Hollander test with time is associated with an increased incidence of recurrent duodenal ulceration. In 24 consecutive patients (20 men and four women with an average age at the time of operation of 41 years) with refractory symptomatic duodenal ulceration, a polytetrafluoroethylene patch placed against the esophagogastric parts denervated by highly selective vagotomy completely prevented ulcer recurrence. All of the patients had negative Hollander test results for a five year period.
authors.affiliation: University Department of Surgery, Medical City, Baghdad.
authors.forename: A S
authors.initials: AS
authors.lastname: Salim
mesh_terms: D000328:Adult; D004381:Duodenal Ulcer / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D011138:Polytetrafluoroethylene; D019736:Prostheses and Implants; D012008:Recurrence; D014628:Vagotomy / Q000379:methods*
chemical_list: D011138:Polytetrafluoroethylene