title: [Anastomotic ulcer after vagotomy for duodenal ulcer].
abstract: Between January 1981 and December 2000, 2609 patient underwent surgery for duodenal ulcer. 2274 underwent isolated vagotomy; 1590 had vagotomy associated with GI anastomosis. Only relapses of anostomic ulcers after vagotomy associated with gastrojejunal anastomosis were included in this study. 22 patients (20 males, 2 females) aged between 26 and 79 years had anastomic ulcer relapses (1.38%) after vagotomy and GI anastomosis. Incomplete vagotomy was diagnosed in 14 cases (93%) associated with a defect in setting in 2 cases. Despite the ongoing controversy about the role of Helicobacter in the pathogenesis of anastomotic ulcers, medical treatment remains the primary therapy, and a partial gastrectomy alone or with vagotomy is necessary only in unresponsive cases.
authors.affiliation: Service de chirurgie générale, EPS Habib Bourguiba, Sfar.
authors.forename: Mohamed Issam
authors.initials: MI
authors.lastname: Beyrouti
authors.forename: Ramez
authors.initials: R
authors.lastname: Beyrouti
authors.forename: Nabil
authors.initials: N
authors.lastname: Dhieb
authors.forename: Faouzi
authors.initials: F
authors.lastname: Gargouri
authors.forename: Mohamed
authors.initials: M
authors.lastname: Ben Amar
authors.forename: Issam
authors.initials: I
authors.lastname: Kchaou
authors.forename: Issam
authors.initials: I
authors.lastname: Tafech
authors.forename: Mohamed
authors.initials: M
authors.lastname: Chaabouni
authors.forename: Ali
authors.initials: A
authors.lastname: Ghorbel
authors.forename: Krichene Mohamed
authors.initials: KM
authors.lastname: Salah
mesh_terms: D000328:Adult; D000368:Aged; D000714:Anastomosis, Surgical; D004381:Duodenal Ulcer / Q000601:surgery*; D005260:Female; D005743:Gastrectomy; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology*; D012008:Recurrence; D012189:Retrospective Studies; D016896:Treatment Outcome; D014456:Ulcer / Q000209:etiology*; D014628:Vagotomy / Q000009:adverse effects*