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Titolo:
Truncal vagotomy and pyloroplasty for non-complicated duodenal ulcer: results 22-26 years after surgery
Autore:
Castano, JC; Alemany, LC; Monforte, NG; Deu, JS;
Indirizzi:
Hosp Sabadell, Serv Cirugia, Dept Surg, Barcelona 08208, Spain Hosp Sabadell Barcelona Spain 08208 a, Dept Surg, Barcelona 08208, Spain
Titolo Testata:
REVISTA ESPANOLA DE ENFERMEDADES DIGESTIVAS
fascicolo: 5, volume: 93, anno: 2001,
pagine: 320 - 324
SICI:
1130-0108(200105)93:5<320:TVAPFN>2.0.ZU;2-R
Fonte:
ISI
Lingua:
ENG
Soggetto:
PROXIMAL GASTRIC-VAGOTOMY; CONTROLLED TRIAL; DRAINAGE; EPITHELIUM;
Keywords:
duodenal ulcer; truncal vagotomy; vagotomy symptoms; recurrent ulcer;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
18
Recensione:
Indirizzi per estratti:
Indirizzo: Castano, JC Hosp Sabadell, Serv Cirugia, Dept Surg, Parc Tauli S-N, Barcelona 08208, Spain Hosp Sabadell Parc Tauli S-N Barcelona Spain 08208 208, Spain
Citazione:
J.C. Castano et al., "Truncal vagotomy and pyloroplasty for non-complicated duodenal ulcer: results 22-26 years after surgery", REV ESP E D, 93(5), 2001, pp. 320-324

Abstract

Objective: to assess the long-term results of truncal vagotomy and pyloroplasty in patients with non-complicated duodenal ulcer. Patients and methods: between 1969 and 1973, 210 patients underwent surgery for non-complicated duodenal ulcer. Of these, 92 were followed up for 22-26 years. In 67 the assessment was conducted at the outpatient consultationand in 25, by phone. Results: in 57% of patients the results were good or very good. Postpandrial fullness, heartburn and diarrhea were reported by 59, 52 and 42% of patients, respectively. Ulcerative recurrence affected 18% of patients, Although the relapsing rate was smaller in women as compared to men (7% versus 20%), physical condition and quality of life after surgery in the latter groupwere much worse. Thirty-five patients (38%) underwent reoperation. The distribution of patients according to the modified Visick classification afterall the reoperations was as follows: I = 22 patients: II = 30 patients; III = 23 patients and IV = 17 patients. Conclusion: long-term results after surgery for duodenal ulcer were not very encouraging, so we suggest for these patients a medical treatment and just in exceptional cases of refractory ulcers we would recommend a surgical procedure with minimal longterm complications.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 10/07/20 alle ore 19:11:39