[Long-term recurrence and complications of 300 supra-selective vagotomies for simple chronic duodenal ulcer].
Three hundred H.S.V. for chronic duodenal ulcer, performed between 1972 and 1982, are reviewed. A thorough analysis of intra and post-operative complications points out that only ulcer recurrence still set problems. These concern their definition, frequency, diagnosis and treatment. The personal experience of the authors leads them, in case of failure of the medical treatment with and endoscopically proved ulcer--what happened in 6 patients of 17 (35,8%)--to prefer gastric resection to re-vagotomies, the performance of which is often difficult and the results uncertain.
D002908:Chronic Disease; D004377:Dumping Syndrome / Q000209:etiology; D004381:Duodenal Ulcer / Q000601:surgery*; D005764:Gastroesophageal Reflux / Q000209:etiology; D006801:Humans; D007431:Intraoperative Complications / Q000209:etiology; D012008:Recurrence; D012086:Reoperation; D014629:Vagotomy, Proximal Gastric / Q000009:adverse effects*
Récidives à long terme et complications de 300 vagotomies supra-sélectives pour ulcère duodénal chronique simple.