Ten-year follow-up of a prospective, randomized trial of selective proximal vagotomy with ulcer excision and partial gastrectomy with gastroduodenostomy for treating corporeal gastric ulcer

Emås, Sverre; Grupcev, Gorgi; Eriksson, Bo

doi:10.1016/0002-9610(94)90105-8

Cited by 9 publications

(2 citation statements)

References 12 publications

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“…Most instances of blood loss are due to prolonged manipulation of the gastric wall. The rate of recurrence reported in the literature, which varies depending on which procedure is done, ranges between 3% and 20% [8,23]. The regeneration of nerve structures and the incomplete denervation are the two factors commonly considered responsible for recurrences.…”

Section: Discussionmentioning

confidence: 99%

“…These factors have virtually eliminated the need for elective ulcer surgery [1,15]. This surgery was done primarily by vagotomy, which is a safe and effective procedure with low rates of recurrence and mortality [7,8,19]. The few operations presently done for peptic ulcer are performed mainly in the elderly, in subjects refractory to medical therapy, or on an emergency basis for hemorrhage or perforation [2].…”

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confidence: 99%

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Comparison of four minimally invasive methods of laparoscopic vagotomy in a porcine model

et al. 1998

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Section: Discussionmentioning

confidence: 99%

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confidence: 99%

Comparison of four minimally invasive methods of laparoscopic vagotomy in a porcine model

et al. 1998

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Transgastric Surgery for Posterior Juxtacardial Ulcers

2003

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Hypothesis: A transgastric approach may be used succesfully for the treatment of posterior juxtacardial ulcers presenting with massive bleeding. Methods: Eight patients were admitted during a 6-year period with acute massive upper gastrointestinal bleeding caused by posterior juxtacardial ulcers. All patients had signs of profound hypovolemic shock, and initial endoscopic control was achieved in 3 patients. They all underwent surgery after endoscopy. At operation, the ulcer was approached through an anteromedial gastrostomy and hemostasis was achieved by transfixing stitches. Ulcers were excised whenever possible, or excluded if adherent posteriorly. Four-quadrant biopsy was taken for frozen section to exclude malignancy. Both anterior and posterior gastric walls were then closed with nonabsorbable suture material. Results: There were 6 men and 2 women with a mean age of 73 years. Hemoglobin levels ranged from 5.2 to 8.0 g/dL. Five patients underwent emergency surgery within 28 hours of admission. The diameter of the ulcers ranged from 2 to 5 cm. Ulcerectomy was performed in 6 cases. In the remaining 2 patients, the crater of the ulcer was adherent to the diaphragm and required exclusion from the gastrointestinal tract. None of the ulcers proved to be malignant, and there were no operative deaths. Patients were followed up for a mean of 3 years with no complications. Conclusions: Satisfactory results can be achieved with a transgastric approach to these rare ulcers. This allows definitive treatment while avoiding major gastric resection with its potential complications.

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Concepts in Surgery of the Stomach and Duodenum

Bermudez

Dempsey

2013

Chassin's Operative Strategy in General Surgery

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Ten-year follow-up of a prospective, randomized trial of selective proximal vagotomy with ulcer excision and partial gastrectomy with gastroduodenostomy for treating corporeal gastric ulcer

Cited by 9 publications

References 12 publications

Comparison of four minimally invasive methods of laparoscopic vagotomy in a porcine model

Comparison of four minimally invasive methods of laparoscopic vagotomy in a porcine model

Transgastric Surgery for Posterior Juxtacardial Ulcers

Concepts in Surgery of the Stomach and Duodenum

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