[Anastomotic ulcer after vagotomy for duodenal ulcer].
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.
Beyrouti
Mohamed Issam
MI
Service de chirurgie générale, EPS Habib Bourguiba, Sfar.
Beyrouti
Ramez
R
Dhieb
Nabil
N
Gargouri
Faouzi
F
Ben Amar
Mohamed
M
Kchaou
Issam
I
Tafech
Issam
I
Chaabouni
Mohamed
M
Ghorbel
Ali
A
Salah
Krichene Mohamed
KM
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*