[Post-vagotomy disorders in patients with duodenal ulcer in relation to the method of proximal gastric vagotomy].
The article deals with the results of study of the effect of the degree of inhibited gastric acid-producing activity on the frequency of the development of postvagotomy disorders (PVD) in 158 patients with duodenal ulcer after treatment by various methods of proximal gastric vagotomy (PGV) and PGV with a stomach-draining operation. The frequency and severity of PVD were found to correlate intimately with the degree of inhibition of the gastric acid-producing activity by the PGV and the character of the draining operation. PVD were more severe and encountered more frequently in patients in whom HCl secretion was inhibited by 80% and 100% as compared to the initial value, especially in patients who underwent a stomach-draining operation. Organic PVD (stenosis, an indolent or a recurrent ulcer adhesions) are mostly encountered in the late-term postoperative period.
Dudenko
G I
GI
Brek
O P
OP
Dudenko
V G
VG
D000328:Adult; D004381:Duodenal Ulcer / Q000503:physiopathology / Q000601:surgery*; D005260:Female; D005744:Gastric Acid / Q000378:metabolism; D005753:Gastric Mucosa / Q000378:metabolism; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology*; D012008:Recurrence; D014629:Vagotomy, Proximal Gastric / Q000009:adverse effects* / Q000379:methods
Postvagotomicheskie narusheniia u bol'nykh iazvennoĭ bolezn'iu dvenadtsatiperstnoĭ kishki v zavisimosti ot sposoba proksimal'noĭ zheludochnoĭ vagotomii.