title: Anterior gastric wall stapling combined with posterior truncal vagotomy in the treatment of duodenal ulcer.
abstract: Anterior gastric stapling with posterior truncal vagotomy was examined as an alternative to highly selective vagotomy in the treatment of peptic ulcer disease. A clinical series of 32 patients who underwent the combined procedure is presented; gastric acid output was adequately reduced (basal output by 82 per cent, peak by 64 per cent). Motility changes were temporary and mild. Clinical follow-up, using a modified Visick grading, showed good to excellent results in 21 of 25 patients who could be classified. This procedure is suggested as an appropriate alternative to highly selective vagotomy.
authors.affiliation: Department of Surgical Research, University of Antwerp, Belgium.
authors.forename: R
authors.initials: R
authors.lastname: Van Hee
authors.forename: W
authors.initials: W
authors.lastname: Mistiaen
authors.forename: L
authors.initials: L
authors.lastname: Hendrickx
authors.forename: P
authors.initials: P
authors.lastname: Blockx
mesh_terms: D000328:Adult; D000368:Aged; D004381:Duodenal Ulcer / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D005744:Gastric Acid / Q000378:metabolism; D005746:Gastric Emptying; D006801:Humans; D008297:Male; D008875:Middle Aged; D011184:Postoperative Period; D012008:Recurrence; D017792:Surgical Stapling / Q000379:methods*; D015167:Vagotomy, Truncal / Q000379:methods*