title: A modification of the Visick grading for the evaluation of duodenal ulcer operations.
abstract: A series of 150 patients with duodenal ulcer, treated by means of a highly selective vagotomy, is presented. The clinical follow-up of 100 patients, treated for more than three years, was assessed according to the Visick classification. A thirteen percent recurrence rate was noted in this series. Recurrences could either be cured easily by medical treatment or induce long lasting medication or operative intervention. A subdivision of the Visick 4 class of patients is proposed in this study, taking into account this quite different evolution of ulcer recurrences after highly selective vagotomy.
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D004381:Duodenal Ulcer / Q000145:classification* / Q000175:diagnosis / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D012008:Recurrence; D012086:Reoperation; D014629:Vagotomy, Proximal Gastric