Recurrence after proximal gastric vagotomy without drainage for duodenal ulcer: A 3–6-year follow-up

Abstract

During the period December 1970 to August 1973, 99 patients with duodenal ulcer underwent proximal gastric vagotomy without drainage, and 93 per cent of the patients were followed up for 3-6 years after the operation. A proved recurrent duodenal ulcer was noted in 4.3 per cent and a strongly suspected recurrent duodenal ulcer in 2 per cent. It is suggested that this rate of recurrence on medium term follow-up is compatible with the continued use of proximal gastric vagotomy in the surgical treatment of duodenal ulcer.

Parietal cell vagotomy: Experience with 114 patients with prepyloric or duodenal ulcer

“…Published results of recurrent ulcer rates following parietal cell vagotomy wherein the patients with duodenal and prepyloric ulcer were considered separately (Table 6) demonstrates a high recurrence rate (from 12 to 37%) for patients with prepyloric ulcer. By comparison the recurrence rate in patients with duodenal ulcer is for the most part less than 10% and similar to that reported by most authors who have considered the results for duodenal ulcer alone [12,16,18,25,31,[34][35][36][37]. We believe types II and III gastric ulcers, although similar in some respects to duodenal ulcer, are a much more aggressive ulcer diathesis and are not suitable for treatment by parietal cell vagotomy.…”

Localization of the antral‐corpus boundary in proximal gastric vagotomy: An experimental comparative study

“…Thus, much attention has been focused on technical aspects of PGV, one of which is the need to define more precisely the antral-corpus boundary to permit consistently accurate and adequate denervation. Some workers use pHmetry of the gastric mucosa [16][17][18][19][20], others use anatomical references [18,19,[21][22][23][24], and still others--less commonly---employ Congo red [16,20,25].…”

Review of general surgery 1977

“…This is reflected by published figures which show good results when the operation is performed by highly experienced gastric surgeons. Thus, de Miguel (1977) reports 6 recurrences in 93 patients, 3 of whom responded to medical treatment and 3 required partial gastrectomy; Hollender and his colleagues had only one stomal ulcer in 72 patients followed-up for more than 6 months and Jensen and , in 60 patients observed from 5 to 7 years, had to re-operate on one patient for recurrent duodenal ulcer and had 2 more patients treated medically. Picaud and his colleagues (1977), in France, followedup 92 of 100 patients submitted to this operation (performed without mortality) for from 6 months to 5 years.…”