title: [Efficacy of hyperselective vagotomy on duodenal ulcer. 284 cases].
abstract: Two hundred and eighty-four patients who underwent highly selective vagotomy for duodenal or prepyloric ulcer were followed up for at least 1 year, and 47.9% of them for at least 5 years (mean : 58 months). The actuarial recurrence rates were 4.7% at 3 years, 9.6% at 5 years and 13.1% at 7 years. These results do not agree with the recently published figure of 20%. The authors insist on the necessity to dissect the lower oesophagus on a length of at least 5 cm. In duodenal ulcers, this technical detail should result in a cure rate of about 90% at 5 years.
mesh_terms: D000206:Actuarial Analysis; D000328:Adult; D004381:Duodenal Ulcer / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012008:Recurrence; D014629:Vagotomy, Proximal Gastric
vernacular_title: Efficacité de la vagotomie hypersélective sur la maladie ulcéreuse duodénale. 284 observations.