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. 1975 Mar 29;1(5960):716–718. doi: 10.1136/bmj.1.5960.716

Highly selective vagotomy for duodenal ulcer: do hypersecretors need antrectomy?

D Johnston, I R Pickford, B E Walker, J C Goligher
PMCID: PMC1672714  PMID: 1125674

Abstract

Two to five years after highly selective vagotomy (H.S.V.) for duodenal ulcer the results were similar in patients with high preoperative maximal acid outputs and those with lower acid outputs. Pain of ulcer type was experienced at some time by 6% of patients from each group, but it was mild and transient in some. No patients had recurrent ulceration at endoscopy or laparotomy, while incidence of individual symptoms was about equal in the two groups. Hence H.S.V. is adequate surgical treatment for patients with both duodenal ulceration and high levels of acid secretion. Antrectomy in such patients is not necessary provided that the incidence of incomplete vagotomy can be kept low.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

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