title: Anterior seromyotomy with posterior truncal vagotomy in chronic duodenal ulcer.
abstract: Anterior seromyotomy with posterior truncal vagotomy was carried out on 25 patients with chronic duodenal ulcer to evaluate its effectiveness as an acid reducing procedure. There was a 76.7% and 76.8% reduction in basal and maximal acid output respectively (augmented histamine test). Twenty-three patients were asymptomatic at 4-6 years' follow-up, while two patients had delayed gastric emptying not necessitating reoperation. There was no mortality. This procedure is a reasonable alternative to highly selective vagotomy.
authors.affiliation: Department of Surgery, Government Medical College, Srinagar, Kashmir.
authors.forename: S
authors.initials: S
authors.lastname: Hakhoo
authors.forename: B K
authors.initials: BK
authors.lastname: Jalali
authors.forename: H U
authors.initials: HU
authors.lastname: Wani
mesh_terms: D000328:Adult; D002908:Chronic Disease; D004381:Duodenal Ulcer / Q000601:surgery*; D005260:Female; D005745:Gastric Acidity Determination; D005753:Gastric Mucosa / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012704:Serous Membrane / Q000601:surgery; D015167:Vagotomy, Truncal