[One hundred cases of highly selective vagotomy without pyloroplasty for duodenal ulcer, with a follow-up of 4 to 8 years (author's transl)].
The authors relate about a pilot series of 100 controlled cases of duodenal ulcer, operated by means of a highly selective vagotomy without pyloroplasty. These patients, all followed during a mean period of 5 1/2 years, showed a recurrent ulcer rate of 5%. Literature studies indicate that, when one wants to improve the results of this operation, it is necessary to avoid a pyloroduodenal stenosis and to clear completely the esophagus over the distal 5 to 7 cm. The pH-measurements during operation seem to be of accessory importance. The duodenal ulcers with and without hypersecretion can be operated by means of a highly selective vagotomy with equal chances of healing.
D000293:Adolescent; D000328:Adult; D000368:Aged; D004381:Duodenal Ulcer / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D005745:Gastric Acidity Determination; D006801:Humans; D006863:Hydrogen-Ion Concentration; D008297:Male; D008875:Middle Aged; D010418:Pentagastrin / Q000627:therapeutic use; D010865:Pilot Projects; D011708:Pylorus / Q000601:surgery; D012008:Recurrence; D014628:Vagotomy; D014629:Vagotomy, Proximal Gastric
D010418:Pentagastrin
Cent cas de vagotomie supersélective sans pyloroplastie pour ulcère duodénal suivis pendant quatre à huit ans.