Highly selective vagotomy: A 14-year experience

Byrne, D. J.; Brock, Brigitte; Morgan, A. G.; McAdam, W A

doi:10.1002/bjs.1800750913

Cited by 8 publications

(1 citation statement)

References 23 publications

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“…Publicada en 1948, fue creada con el objetivo de medir resultados postoperatorios de la gastrectomía radical por ulcus péptico 17 . Posteriormente, su aplicación se amplió para valorar CV en pacientes sometidos a cirugía por úlcera péptica en general [21][22][23] ; y luego para evaluación de resultados de diversos tipos de cirugías gástricas 24,25 . Desde hace un tiempo se ha utilizado para evaluar la apreciación de los pacientes respecto a la cirugía antirreflujo, tanto por vía abierta 26 como laparoscópica 27 .…”

Section: Visick Grading Systemunclassified

Calidad De Vida Relacionada Con Salud: Instrumentos De Medición Para Valoración De Resultados en Cirugía Digestiva Alta

Urrutia

Otzen

2014

Rev Chil Cir

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Health-related quality of life. Measurement tools to assessing upper gastrointestinal surgery outcomes Background: Since a while, clinicians and surgeons recently have recognized the desirability of Health-related quality of life (HRQOL) measure to inform their patients, even health authorities in respect of decision making in health and as a variable to be considered in clinical research. For this, there are multiple questionnaires (including self-administered) that are available for measuring this construct. In the field of upper gastrointestinal surgery, there are tools that have been generated and validated for this purpose (some of them generals and other specifics). The aim of this article is to describe specific measurement instruments to assess HRQOL in upper gastrointestinal surgery. Material and Methods: A search on engines Altavista, Google and Yahoo, in Ixquick and Copérnico metasearch and in the database "Documents in Information Science" (DoIS) was performed. The search strategy used the terms "Quality of Life", "Health-related quality of life", "HRQOL", "Outcome Assessment (Health Care)", "upper gastrointestinal surgery" and "digestive surgery". After locating articles, these were evaluated and a summary document of collected information was developed. Results: The search performed gave 23 instruments: related with upper gastrointestinal benign disease (10), with obesity and bariatric surgery (4), and related with digestive neoplasms (9). Conclusion: There is an interesting variety of instruments to measure HRQOL in upper gastrointestinal surgery. Knowing is a user support to both the development of everyday surgical practice, as for decision-making in health and as measurement instruments in clinical research.

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Section: Visick Grading Systemunclassified

Calidad De Vida Relacionada Con Salud: Instrumentos De Medición Para Valoración De Resultados en Cirugía Digestiva Alta

Urrutia

Otzen

2014

Rev Chil Cir

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Highly selective vagotomy 5–15 years on

Macintyre

Millar

Smith

et al. 1990

British Journal of Surgery

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Highly selective vagotomy for duodenal ulcer was performed on 307 patients between 1973 and 1983 without operative mortality. Of these, 283 (92.2 per cent) were followed up prospectively for a minimum of 5 years. Recurrent ulcer was diagnosed in 49 (17.3 per cent). The recurrent ulcer rate increased from 13.2 per cent at 5 years to 19.4 per cent at 12 years. Age, length of history, previous haemorrhage or perforation and preoperative acid output were not associated with increased risk of recurrent ulceration. The risk in men and smokers was higher but not significantly so. The recurrence rate for individual surgeons varied from 5.3 to 25.6 per cent. Failure of healing with H2-receptor antagonists was not associated with a higher recurrent ulcer rate. Patients with a strong family history (more than one first degree relative affected) had a significantly higher recurrence rate (33.2 per cent at 10 years) than those without (13.5 per cent at 10 years). Of the 49 recurrent ulcer patients, 30 (61.2 per cent) required either an operation or regular H2-receptor antagonists. Of the 250 patients (81.4 per cent) available in 1988 for review of symptoms 5-15 years after operation, 5.4 per cent had dumping, 8.9 per cent epigastric pain, and 11.8 per cent heartburn every day or most days. H2-receptor antagonists were required by 10.7 per cent of patients on a frequent or regular basis. Of 239 patients who answered the question, 218 (91.2 per cent) felt that their symptoms had been cured or greatly improved and 203 (84.9) considered the operation a success. Despite the high recurrence rate, the operation was successful in controlling ulcer symptoms in around 90 per cent of patients and produced postvagotomy symptoms--none severe--in around 5 per cent of patients.

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Suture technique affects perianastomotic colonic crypt cell production and tumour formation

O’Donnell

O'Connell

Royston

et al. 1991

British Journal of Surgery

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Suture line recurrence is an important cause of failure after potentially curative resection for colonic carcinoma. Our aim was to determine whether suture technique affected the incidence of perianastomotic tumours in experimentally induced colonic cancer. Sprague-Dawley rats were randomized into three groups. A 1 cm longitudinal colotomy was repaired with four interrupted 6/0 polypropylene monofilament sutures, using either a transmural technique (n = 18) or a seromuscular technique (n = 18). Control animals (n = 18) had a sham laparotomy. All animals received nine, weekly, subcutaneous injections of azoxymethane (total dose 90 mg/kg) starting 6 weeks after laparotomy. Surviving animals were killed 32 weeks after laparotomy. Five animals from each group were given intraperitoneal bromodeoxyuridine (100 mg/kg) 1 h before being killed. At death, perianastomotic tumours occurred more frequently in animals with transmural sutures than in either controls or those with seromuscular sutures. This difference was associated with a greater mucosal bromodeoxyuridine crypt cell labelling index in the transmural suture group. We conclude that a transmural anastomotic suture technique promotes the development of experimental perianastomotic colonic tumours.

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Highly selective vagotomy: A 14-year experience

Cited by 8 publications

References 23 publications

Calidad De Vida Relacionada Con Salud: Instrumentos De Medición Para Valoración De Resultados en Cirugía Digestiva Alta

Calidad De Vida Relacionada Con Salud: Instrumentos De Medición Para Valoración De Resultados en Cirugía Digestiva Alta

Highly selective vagotomy 5–15 years on

Suture technique affects perianastomotic colonic crypt cell production and tumour formation

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