1998
DOI: 10.1001/archsurg.133.9.998
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Partial or Complete Circular Duodenectomy With Highly Selective Vagotomy for Severe Obstructing Duodenal Ulcer Disease

Abstract: To evaluate partial and complete circular duodenectomy combined with highly selective vagotomy (HSV) for relief of gastric retention.Design: A retrospective, case-comparison study.Setting: University hospital referral center.Patients: Eighteen patients with severe obstructing duodenal ulcer disease defined by failure of a saline load test and endoscopic narrowing of the gastric outlet to 5 mm or less.Methods: In patients with severe obstructing ulcer the diseased duodenal segment was excised with electrocauter… Show more

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Cited by 4 publications
(2 citation statements)
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“…Medical management of peptic ulcer has limited its complications and decreased the need for surgical treatment. Surgery (either by resective or non-resective gastric procedures) may be the treatment of choice in selected patients with complications of peptic ulcer 2 3…”
Section: Discussionmentioning
confidence: 99%
“…Medical management of peptic ulcer has limited its complications and decreased the need for surgical treatment. Surgery (either by resective or non-resective gastric procedures) may be the treatment of choice in selected patients with complications of peptic ulcer 2 3…”
Section: Discussionmentioning
confidence: 99%
“…Peptic ulcers have many means of being treated surgically. However, surgery is generally reserved for those patients who fail medical or endoscopic treatment; or those who suffer from a complication such as hemorrhage, perforation or gastric outlet obstruction [5][6][7][8].…”
Section: Introductionmentioning
confidence: 99%