title: [The long-term effects of retrograde liberated highly selective vagotomy in treatment of duodenal ulcer].
abstract: OBJECTIVE
  To evaluate the long-term effects of retrograde liberated highly selective vagotomy (RLHSV) in the treatment of duodenal ulcer.
  
  
  METHODS
  Seventy patients with duodenal ulcers complicated by stenosis, bleeding, or perforation were operated on by retrograde liberated highly selective vagotomy. Among these patients, 61 had perforated duodenal ulcers, 6 bleeding and 3 stenosis.
  
  
  RESULTS
  Followed up for 30 to 120 months in 65 patients showed a recurrence rate 7.69% and no hemorrhage occurs. According to the modified Visick grading system, 56 patients (86.2%) were of Visick I, 4 (6.1%) of Visick II, 2 (3.0%) Visick III, 3 (4.6%) Visick IV, and (92.3%) Visick I or II.
  
  
  CONCLUSIONS
  This modified procedure is rapid, easy and radical operation with excellent long-term results. It can be considered an effective alternative for the treatment of duodenal ulcer with complication.
authors.affiliation: Department of General Surgery, Xiehe Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China.
authors.forename: Daoda
authors.initials: D
authors.lastname: Chen
authors.forename: Jianying
authors.initials: J
authors.lastname: Chen
authors.forename: Xiaoming
authors.initials: X
authors.lastname: Lu
authors.forename: Wei
authors.initials: W
authors.lastname: You
authors.forename: Zhenxin
authors.initials: Z
authors.lastname: Chen
authors.forename: Zhenyong
authors.initials: Z
authors.lastname: Chen
authors.forename: Jun
authors.initials: J
authors.lastname: Feng
mesh_terms: D000328:Adult; D000368:Aged; D004381:Duodenal Ulcer / Q000503:physiopathology / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D005746:Gastric Emptying; D005773:Gastroscopy; D006801:Humans; D008297:Male; D008875:Middle Aged; D012008:Recurrence; D014628:Vagotomy / Q000009:adverse effects / Q000379:methods*