[Evaluation of the effectiveness of vagotomy in uncomplicated duodenal ulcer based on its results 10 years after the operation].
Under analysis are results of vagotomy performed in 95 patients with uncomplicated ulcer of the duodenum after ineffective conservative treatment 10 years after operation. During this time recurrent ulcer developed in 26 patients (27.4%). The disease reappeared more frequently in patients with high level of night gastric secretion before surgery. Results of the operation in 25 patients (26.3%) could be estimated only as satisfactory because of various disorders (dumping-syndrome, diarrhea, gastric dyspepsia). But a usual basis for such an assessment was not a medial degree of some disorders (2 patients) but a combination of light degree disorders (23 patients). One patient was included into the IVth Wisik's group due to severe dyspepsia. Only 43 patients (45.3%) were included in the I and II groups by the Wisik's scheme. Results of vagotomy in patients who had no ulcer complications before operation were compared with the efficiency of vagotomy used totally for all indications and were found to be much worse. The authors make a conclusion that it is not expedient to widen indications to vagotomy at the expense of patients with uncomplicated ulcers.
Trofimov
V M
VM
Nechaĭ
A I
AI
Sitenko
V M
VM
Movchan
K N
KN
Zuev
V K
VK
Sukhopara
Iu N
IuN
Morozov
Iu M
IuM
D000075202:Contraindications; D004381:Duodenal Ulcer / Q000503:physiopathology / Q000601:surgery*; D005744:Gastric Acid / Q000378:metabolism; D006801:Humans; D012008:Recurrence; D013997:Time Factors; D014629:Vagotomy, Proximal Gastric; D015167:Vagotomy, Truncal
Otsenka éffektivnosti vagotomii pri neoslozhnennoĭ iazvennoĭ bolezni dvenadtsatiperstnoĭ kishki na osnovanii rezul'tatov ee cherez 10 let posle operatsii.