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Critical Appraisal of Vagotomy and PyloroplastyTreatment of Peptic Ulcer
Gerald O. McDonald, MD;
Hassan Abtahi, MD
AMA Arch Surg. 1970;100(4):414-420.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings. |
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The reintroduction of pyloroplasty and the combination of this procedure with vagus nerve section have provided a relatively simple but physiologic approach to the surgical treatment of duodenal ulcer. Although widely accepted on a physiologic basis, the exact role of this procedure in the surgical treatment of duodenal ulcer remains unclear to many clinicians. The present study is a critical appraisal of the results and complications of this operation performed on 500 patients, 317 of whom were followed up two to eight years. The ulcer diathesis was controlled in 84% of the patients; 13% of the patients required medication for occasional but regularly occurring symptoms and 3% had results classified as poor. The surgical mortality for the entire group was 4.2%. The surgical mortality in 50 patients operated on as emergencies during the period of uncontrolled and massive hemorrhage was 24%. In contrast, there was no operative mortality in 36
. . . [Full Text PDF of this Article]
Author Affiliations
Chicago
From the Department of Surgery, University of Illinois College of Medicine, and the West Side Veterans Administration Hospital, Chicago.
Footnotes
Accepted for publication Dec 10, 1969.
Read before the 77th annual meeting of the Western Surgical Association, Dallas, Nov 21, 1969.
Reprint requests to Department of Surgery, University of Illinois College of Medicine, Chicago 60612 (Dr. McDonald).
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