PROSPECTIVE RANDOMIZED TRIAL OF VAGOTOMY IN CHRONIC DUODENAL ULCERATION

被引:17
作者
KOFFMAN, CG
ELDER, JB
GILLESPIE, IE
GANGULI, PC
OSTICK, DG
COWLEY, DJ
DYMOCK, IW
TWEEDLE, DEF
SCHOFIELD, PF
PENGELLY, CDR
SHAFIQ, M
SHREEVE, DR
PALMER, M
机构
[1] UNIV MANCHESTER, MANCHESTER ROYAL INFIRM, DEPT SURG, MANCHESTER M13 9WL, ENGLAND
[2] UNIV MANCHESTER, WITHINGTON HOSP, DEPT SURG, MANCHESTER M13 9PL, LANCASHIRE, ENGLAND
[3] PK HOSP DAVYHULME, MANCHESTER, ENGLAND
[4] N MANCHESTER GEN HOSP, MANCHESTER, ENGLAND
[5] CHRISTIE HOSP & HOLT RADIUM INST, DEPT STAT, MANCHESTER M20 9BX, LANCASHIRE, ENGLAND
关键词
D O I
10.1002/bjs.1800660302
中图分类号
R61 [外科手术学];
学科分类号
摘要
In a prospective, randomized trial, 76 patients with duodenal ulceration treated by truncal vagotomy and pyloroplasty were compared with 77 patients who underwent highly selective vagotomy. A total of 149 patients was followed up for from 1 to 4 years, the average follow‐up period being 2.6 years. There was no operative mortality and no significant difference in postoperative morbidity between the two groups. The incidence of recurrent ulceration was greater after highly selective vagotomy, but this difference was not statistically significant. The clinical results were comparable in each group, and although the incidence of diarrhoea and dumping was greater after vagotomy and pyloroplasty, this difference was not statistically significant. Copyright © 1979 British Journal of Surgery Society Ltd.
引用
收藏
页码:145 / 148
页数:4
相关论文
共 19 条
  • [1] CLINICAL RESULTS OF PARIETAL-CELL VAGOTOMY (HIGHLY SELECTIVE VAGOTOMY) 2 TO 4 YEARS AFTER OPERATION
    AMDRUP, E
    JENSEN, HE
    JOHNSTON, D
    WALKER, BE
    GOLIGHER, JC
    [J]. ANNALS OF SURGERY, 1974, 180 (03) : 279 - 284
  • [2] AMDRUP E, 1970, GASTROENTEROLOGY, V59, P522
  • [3] AMDRUP E, 1977, SCAND J GASTROENTERO, V12, P4
  • [4] 5- TO 8-YEAR RESULTS OF LEEDS/YORK CONTROLLED TRIAL OF ELECTIVE SURGERY FOR DUODENAL ULCER
    GOLIGHER, JC
    PULVERTAFT, CN
    DEDOMBAL, FT
    CONYERS, JH
    DUTHIE, HL
    FEATHER, DB
    LATCHMORE, AJ
    SHOESMITH, JH
    SMIDDY, FG
    WILLSONP.J
    [J]. BMJ-BRITISH MEDICAL JOURNAL, 1968, 2 (5608): : 781 - +
  • [5] TECHNIQUE FOR HIGHLY SELECTIVE (PARIETAL-CELL OR PROXIMAL GASTRIC) VAGOTOMY FOR DUODENAL-ULCER
    GOLIGHER, JC
    [J]. BRITISH JOURNAL OF SURGERY, 1974, 61 (05) : 337 - 345
  • [6] GRASSI G, 1973, SURG GYNECOL OBSTET, V136, P726
  • [7] GRIFFITH CA, 1962, SURG CLIN N AM, V42, P1431
  • [8] LOCALIZED AVASCULAR NECROSIS OF LESSER CURVE OF STOMACH COMPLICATING HIGHLY SELECTIVE VAGOTOMY
    HALVORSEN, JF
    HEIMANN, P
    SOLHAUG, JH
    JACOBSEN, KB
    [J]. BRITISH MEDICAL JOURNAL, 1975, 2 (5971) : 590 - 591
  • [9] Holle F, 1967, Med Klin, V62, P441
  • [10] INCIDENCE OF DUMPING AFTER TRUNCAL AND SELECTIVE VAGOTOMY WITH PYLOROPLASTY AND HIGHLY SELECTIVE VAGOTOMY WITHOUT DRAINAGE PROCEDURE
    HUMPHREY, CS
    JOHNSTON, D
    WALKER, BE
    GOLIGHER, JC
    PULVERTAFT, CN
    [J]. BMJ-BRITISH MEDICAL JOURNAL, 1972, 3 (5830): : 785 - +