1987
DOI: 10.1097/00000658-198705000-00017
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Should it be Parietal Cell Vagotomy of Selective Vagotomy-Antrectomy for Treatment of Duodenal Ulcer?

Abstract: This is a progress report of a prospective, randomized study involving 200 consecutive patients treated electively with either parietal cell vagotomy (PCV) or selective vagotomy and antrectomy (SV-A). Both groups comprised patients with pyloric, prepyloric, or duodenal ulcers. There was no operative mortality in either group. Patients were examined at 2, 6, 12 months, and every 12 months thereafter for 8-10 years. The two operations produced no statistical difference in the frequency of diarrhea. Dumping (p le… Show more

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Cited by 47 publications
(7 citation statements)
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“…The time needed for severed axons to recolonize the human stomach and become functional is unknown. Because peptic ulcers rarely reoccur after vagotomy ( Jordan and Thornby, 1987 ; Popiela et al, 1993 ), it is unlikely that regrown vagal axons become functional again. Of note, humans treated with truncal vagotomy often received a pyloroplasty to prevent gastric stasis.…”
Section: Satiation Without a Vagus Nervementioning
confidence: 99%
“…The time needed for severed axons to recolonize the human stomach and become functional is unknown. Because peptic ulcers rarely reoccur after vagotomy ( Jordan and Thornby, 1987 ; Popiela et al, 1993 ), it is unlikely that regrown vagal axons become functional again. Of note, humans treated with truncal vagotomy often received a pyloroplasty to prevent gastric stasis.…”
Section: Satiation Without a Vagus Nervementioning
confidence: 99%
“…Although the long-term ulcer recurrence rate is higher after this procedure compared with antrectomy and truncal vagotomy, it has the lowest incidence of postoperative dumping. 109 If more extensive surgery is necessary, resection is preferable to a Roux-en-Y gastrojejunostomy because of decreased rate of dumping, when compared with pyloroplasty or loop gastrojejunostomy.…”
Section: Preventionmentioning
confidence: 99%
“…In other reports there has been no difference in DS incidence between PSV with or without drainage [21], and the incidence of DS has been lower after PSV than after selective vagotomy (SV) + A, Billroth II, truncal vagotomy (TV) + A, SV + A, SV + pyloroplasty (P) or TV + P [22][23][24], However, reductions in plasma volume and circulatory events are unusual in patients experiencing postprandial symptoms and hyperglycemia after PSV. Guar gum.…”
Section: Diagnosis O F Dsmentioning
confidence: 99%