Abstract
Out of a series of 75 patients who were treated by vagotomy and drainage for gastric ulcer 66 have been followed up for one to seven years (average three-and-a-half years). Four recurrent gastric ulcers occurred among the 33 cases of ulcer of the lesser curve or body with no antral or duodenal lesion (type I). Among the 42 patients with an antral ulcer or an associated active or healed pyloric or duodenal lesion (type II or III) there was only one recurrence. The recurrence rate for men was 5% and for women 12%. One patient died two years after operation from cancer which may have originated in the stomach. The clinical results in patients without recurrences were generally satisfactory.
Vagotomy, preferably selective, with drainage is a satisfactory operation in gastric ulcers of types II and III. For ulcers of type I, gastrectomy is to be preferred except in selected cases.
Full text
PDF
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Capper W. M. Factors in the pathogenesis of gastric ulcer. Hunterian lecture delivered at the Royal College of Surgeons of England on 18th January 1966. Ann R Coll Surg Engl. 1967 Jan;40(1):21–35. [PMC free article] [PubMed] [Google Scholar]
- DRAGSTEDT L. R. A concept of the etiology of gastric and duodenal ulcers. Gastroenterology. 1956 Feb;30(2):208–220. [PubMed] [Google Scholar]
- De Miguel J. Selective vagotomy and pyloroplasty in the treatment of gastric ulceration: some clinical observations and results. Br J Surg. 1970 May;57(5):338–343. doi: 10.1002/bjs.1800570505. [DOI] [PubMed] [Google Scholar]
- Douglas M. C., Duthie H. L. Vagotomy for gastric ulcer combined with duodenal ulcer. Br J Surg. 1971 Oct;58(10):721–724. doi: 10.1002/bjs.1800581003. [DOI] [PubMed] [Google Scholar]
- Duthie H. L., Moore T. H., Bardsley D., Clark R. G. Surgical treatment of gastric ulcers. Controlled comparison of Billroth-I gastrectomy and vagotomy and pyloroplasty. Br J Surg. 1970 Oct;57(10):784–787. doi: 10.1002/bjs.1800571024. [DOI] [PubMed] [Google Scholar]
- Duthie H. L. Vagotomy for gastric ulcer. Gut. 1970 Jun;11(6):540–545. doi: 10.1136/gut.11.6.540. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Farris J. M., Smith G. K. Some other operations for gastric ulcer. A. Kelling-Madlener operation. B. Wedge resection and pyloroplasty. C. Pyloroplasty (with ulcer in situ). Surg Clin North Am. 1966 Apr;46(2):329–338. doi: 10.1016/s0039-6109(16)37835-5. [DOI] [PubMed] [Google Scholar]
- George J. D. New clinical method for measuring the rate of gastric emptying: the double sampling test meal. Gut. 1968 Apr;9(2):237–242. doi: 10.1136/gut.9.2.237. [DOI] [PMC free article] [PubMed] [Google Scholar]
- HENDRY W. G., BAHRANI Z. A. GASTRIC ULCER AND CONSERVATIVE SURGERY: VAGUS RESECTION AND FINNEY'S PYLOROPLASTY. Br J Surg. 1965 Aug;52:588–596. doi: 10.1002/bjs.1800520809. [DOI] [PubMed] [Google Scholar]
- JOHNSON H. D., LOVE A. H., ROGERS N. C., WYATT A. P. GASTRIC ULCERS, BLOOD GROUPS, AND ACID SECRETION. Gut. 1964 Oct;5:402–411. doi: 10.1136/gut.5.5.402. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Kraft R. O., Myers J., Overton S., Fry W. J. Vagotomy and the gastric ulcer. Am J Surg. 1971 Feb;121(2):122–128. doi: 10.1016/0002-9610(71)90088-2. [DOI] [PubMed] [Google Scholar]
- Sawyers J. L., Scott H. W., Jr, Graham C. Clinical trial of vagotomy and pyloroplasty in the treatment of benign gastric ulcer. Am J Surg. 1971 Feb;121(2):119–121. doi: 10.1016/0002-9610(71)90087-0. [DOI] [PubMed] [Google Scholar]
- Wasunna A. E., Kennedy F., Gillespie I. E., Kay A. W. Combined gastric and duodenal ulcers managed by vagotomy and drainage. Lancet. 1971 Apr 10;1(7702):722–723. doi: 10.1016/s0140-6736(71)91988-x. [DOI] [PubMed] [Google Scholar]
- Woodward E. R., Eisenberg M. M., Dragstedt L. R. Recurrence of gastric ulcer after pyloroplasty. A note of warning. Am J Surg. 1967 Jan;113(1):5–12. doi: 10.1016/0002-9610(67)90250-4. [DOI] [PubMed] [Google Scholar]