[Supra-selective vagotomy in the treatment of perforated duodenal ulcers. Thirty cases report (author's transl)].
Thirty patients with acute perforated duodenal ulcer were managed by supra-selective vagotomy and simple closure of the perforation. There was no operative mortality and a low morbidity. Fourteen patients have had gastric studies between four and thirty-two months after operation. Three patients had transitory epigastric fullness (21%); there was no diarrhea or dumping, but two recurrences (14%). The risk of ulcer recurrence after simple closure is high; supra-selective vagotomy as a definitive ulcer therapy, does not increase operative mortality, and has mild digestive sequelaes, for an acceptable rate of recurrence.
D000208:Acute Disease; D000328:Adult; D004381:Duodenal Ulcer / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010439:Peptic Ulcer Perforation / Q000601:surgery*; D011184:Postoperative Period; D014628:Vagotomy; D014629:Vagotomy, Proximal Gastric
La vagotomie supra-sélective dans le traitement des ulcères duodénaux perforés. A propos de trente malades.