Five to eight-year results of Leeds-York controlled trial of elective surgery for duodenal ulcer.

Goligher, J. C.; Pulvertaft, C. N.; Dombal, F. T. de; Conyers, J. H.; Duthie, H. L.; Feather, D. B.; Latchmore, A. J. C.; Shoesmith, J. H.; Smiddy, F. G.; Willson-Pepper, J. K.

doi:10.1136/bmj.2.5608.781

Cited by 199 publications

(45 citation statements)

References 5 publications

(1 reference statement)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…procedure as compared with partial gastrectomy nous glucose (Goligher, Pulvertaft, De Dombal, Conyers, Duthie, 1951) prob-Feather, Latchmore, Shoesmith, Smiddy, and intravenous Willson-Pepper, 1968) are perhaps related to faster bed from the gastric emptying after vagotomy (McGill, Cameron, rurner, 1964;Hobsley, and Le Quesne, 1968) rather than to any i4). However, direct effect of vagotomy on insulin release or action.…”

Section: Methodsmentioning

confidence: 99%

Insulin response to carbohydrate ingestion after gastric surgery with special reference to hypoglycaemia

Cameron¹,

Ellis²,

McGill³

et al. 1969

Gut

View full text Add to dashboard Cite

SUMMARY Factors responsible for spontaneous hypoglycaemia were investigated in 23 gastrectomy patients and two patients with vagotomy and pyloroplasty. Plasma insulin and capillary blood glucose levels were followed after giving 175 ml of 50% glucose orally. In gastrectomy patients a significant correlation was found between the height of the peak blood glucose and insulin levels for the same individual. Patients with high peak glucose and insulin levels were significantly more likely to develop hypoglycaemia later in the test. These findings are compatible with the suggestion that the major factor predisposing to hypoglycaemia is a faster than average rate of emptying of the gastric remnant, but this does not explain all the results. In two cases, hypoglycaemia followed an abnormally large insulin response to oral glucose. The results of insulin injection tests in 14 patients do not exclude the further possibility that in some cases hypoglycaemia is due to excessive insulin sensitivity.

show abstract

Section: Methodsmentioning

confidence: 99%

Insulin response to carbohydrate ingestion after gastric surgery with special reference to hypoglycaemia

Cameron¹,

Ellis²,

McGill³

et al. 1969

Gut

View full text Add to dashboard Cite

show abstract

“…A avaliação clínica pré-operatória foi comparada à avaliação pós-operatória utilizando-se a classificação de Visick modificada (24) : grau I -evolução excelente, sem sintomas; grau II -boa evolução, com sintomas; grau III -evolução satisfatória, com sintomas moderados não controlados pela dieta, causando algum desconforto; grau IV -evolução não satisfatória. A avaliação pós-operatória foi realizada três meses, um ano e dois anos após a cirurgia.…”

Section: Pacientes E Métodosunclassified

Tratamento cirúrgico da doença de refluxo gastroesofágico na esclerose sistêmica

Sampaio-Barros¹,

Lopes²,

Andreollo³

et al. 2004

Rev. Bras. Reumatol.

View full text Add to dashboard Cite

RESUMOObjetivo: Os autores descrevem sua experiência com o tratamento cirúrgico da doença de refluxo gastroesofágico (DRGE) em pacientes com esclerose sistêmica (ES). Métodos: Foram selecionados 10 pacientes com DRGE que apresentavam esofagite grave e estenose esofágica, tratados previamente com doses recomendadas de drogas anti-secretórias (ranitidina e/ou omeprazol) e pró-cinéticas (cisapride) por mais de seis meses, sem melhora significativa. Todos os pacientes eram do sexo feminino e 8 eram caucasóides, sendo 7 com ES limitada e 3 com ES difusa. Resultados: O tratamento cirúrgico foi realizado através de videolaparoscopia em 9 pacientes e por cirurgia aberta no outro paciente. Sete pacientes foram submetidos à técnica de Nissen modificada e 3 à técnica de Lind. Seis pacientes com estenose esofágica significativa necessitaram de dilatações endoscópicas no período pré-operatório. Avaliação pós-operatória três meses após a cirurgia revelou que 70% dos pacientes apresentaram resultado favorável, com melhora significativa da azia e da disfagia; 1 paciente necessitou de nova intervenção cirúrgica em conseqüência de uma hérnia paraesofágica no período pós-operatório, sendo realizada uma gastrectomia em Y de Roux. Uma boa evolução foi referida por 80% dos pacientes um ano após cirurgia e por 70% dois anos após cirurgia, observando-se dois óbitos. Conclusões: Os autores concluem que o tratamento cirúrgico da DRGE representa uma eficiente opção terapêutica em pacientes com ES e esofagite grave com estenose.

show abstract

“…Different drain age procedures have been compared with a universal con clusion that no single procedure is superior to another [6][7][8][9][10], Jaboulay described GD in 1892 [quoted by Maingot. 11], There were no differences between the two groups.…”

Section: Discussionmentioning

confidence: 99%

Reappraisal of Jaboulay’s Gastroduodenostomy

Bapaye¹,

Bharucha²,

Bokil³

1992

Dig Surg

View full text Add to dashboard Cite

161 patients were operated on for duodenal ulcer between 1980 and l·Vagotomy and Jaboulay’s gastroduodenostomy (GD) were performed in 81 while vagotomy was combined with gastrojejunostomy (GJ) in 80. Mean age was 46 years for the GD group and 42.1 years for the GJ group. 17 patients were lost to follow-up, making 144 patients available for a retrospective analysis. There was no mortality in this series. 3 patients developed recurrent ulcer. 1 patient from the GJ group suffered from diarrhoea (4-5 motions/day). The two groups, when compared for the incidence of recurrence, dumping, diarrhoea and also by Visick grading, failed to show a statistically significant difference.

show abstract

Five to eight-year results of Leeds-York controlled trial of elective surgery for duodenal ulcer.

Cited by 199 publications

References 5 publications

Insulin response to carbohydrate ingestion after gastric surgery with special reference to hypoglycaemia

Insulin response to carbohydrate ingestion after gastric surgery with special reference to hypoglycaemia

Tratamento cirúrgico da doença de refluxo gastroesofágico na esclerose sistêmica

Reappraisal of Jaboulay’s Gastroduodenostomy

Contact Info

Product

Resources

About