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SELECTIVE VAGOTOMY FOR DUODENAL ULCER: A FIVE‐YEAR FOLLOW‐UP
Author(s) -
Coupland G. A. E.,
Cumberland V. H.,
Lorang M. E.
Publication year - 1977
Publication title -
medical journal of australia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.904
H-Index - 131
eISSN - 1326-5377
pISSN - 0025-729X
DOI - 10.5694/j.1326-5377.1977.tb114566.x
Subject(s) - medicine , vagotomy , duodenal ulcer , surgery , gastroenterology
The results for the first 101 consecutive patients who had selective vagotomy and a drainage procedure performed for duodenal ulceration between1967and 1971 are presented. Seventy‐four patients were followed up for five to nine years, 13 patients were lost to follow‐up for part of the five‐year period, and 14 patients died during follow‐up. Six patients developed recurrent ulcers. Five of these recurrent ulcers were observed in patients in whom the vagotomy was not tested for completeness during the operation; this represents a recurrence rate of 10%. One patient, in whom testing was used at operation, developed a recurrent ulcer; this represents a recurrence rate of 2%. There was a statistically significantdifferencein the rate of recurrence between the group tested during operation and that not tested.