[Extended parietal cell vagotomy in the treatment of perforation, hemorrhage, and stenosis due to duodenal ulcer].
Ninety-five patients with perforation, haemorrhage, and stenosis due to duodenal ulcer were treated by extended parietal cell vagotomy (EP-CV). Eighty-eight (92%) (acute perforation 60 patients, haemorrhage 8 and stenosis 20) of them were followed up for 3.5 to 10 years (average 6 years). There was no operative death except for 2 documented recurrent ulcers (2.3%) and 1 recurrent stenosis. Of the 88 patients, 67 (76.3%) belonged to class I, 13 (14.7%) class II, 4 (4.5%) class III, and 4 (4.5%) class IV according to visick system. We believe that EPCV is effective in the treatment of perforation, haemorrhage, and stenosis of duodenal ulcer.
Beijing Army General Hospital.
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Li
D000293:Adolescent; D000328:Adult; D000368:Aged; D004381:Duodenal Ulcer / Q000150:complications / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007415:Intestinal Obstruction / Q000209:etiology / Q000601:surgery; D008297:Male; D008875:Middle Aged; D010438:Peptic Ulcer Hemorrhage / Q000209:etiology / Q000601:surgery*; D010439:Peptic Ulcer Perforation / Q000209:etiology / Q000601:surgery*; D012008:Recurrence; D014629:Vagotomy, Proximal Gastric / Q000379:methods*