Mucosal pyloroplasty

Qvist, George; Fox, J A

doi:10.1002/bjs.1800560306

Cited by 7 publications

(6 citation statements)

References 7 publications

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“…There is no doubt that gastric ulcers may remain unhealed or may recur in patients with an entirely adequate pyloroplasty (Qvist and Fox, 1969) or gastro-enterostomy (Tanner, 1964), and therefore these procedures are rarely, if ever, indicated for high ulcers.…”

Section: P R O C E D U R E S Which Do N O T Involve the Removal Of Thmentioning

confidence: 98%

“…Ulcers that fail to respond to vagotomy and drainage do particularly badly on medical treatment (Bank, Marks, Louw, and Brom, 1969)~ and although occasionally silent (Qvist, Davis, and Fox, 1969) they remain liable to complications. I n a poor-risk patient with an uncomplicated high gastric ulcer, the risk of recurrence may be worth accepting, but, in general, vagotomy with drainage is not recommended for high ulcers.…”

Section: P R O C E D U R E S Which Do N O T Involve the Removal Of Thmentioning

confidence: 99%

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Operative treatment of high gastric ulcer with special reference to Pauchet's method

Lewis

Qvist

1972

British Journal of Surgery

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A high gastric ulcer may be treated by excision, or the ulcer may be retained and healing encouraged by other means. If the ulcer is retained there is a small but definite risk of malignancy. Neither gastric drainage, nor the Kelling–Madlener operation, nor vagotomy and pyloroplasty ensures healing in a high gastric ulcer. Local wedge resection of the ulcer is attended by very poor results, and a high mortality and morbidity preclude the use of subtotal or total gastrectomy. Pauchet's procedure combines the advantages of limited gastrectomy and gastroduodenal anastomosis with complete removal of the ulcer. It is the recommended operation for high gastric ulcers.

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Section: P R O C E D U R E S Which Do N O T Involve the Removal Of Thmentioning

confidence: 98%

Section: P R O C E D U R E S Which Do N O T Involve the Removal Of Thmentioning

confidence: 99%

Operative treatment of high gastric ulcer with special reference to Pauchet's method

Lewis

Qvist

1972

British Journal of Surgery

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“…It is of interest that Moynihan (1923) spoke unfavourably of the Heineke-Mikulicz operation and that both he and Wilkie (1929) employed the sub-pyloric gastroduodenostomy of Jaboulay (1892). MucosalPyloroplasty A completely satisfactory permanent relaxation of muscle tone in the pyloric region can be obtained by the use of mucosal pyloroplasty (Qvist & Fox 1969). The anterior part of the pylorus and adjacent muscle and fibrous tissue are excised and only the mucosa is sutured transversely.…”

Section: Surgical Reliefofmyospasmmentioning

confidence: 99%

President's Address. Muscle Spasm in the Etiology of Chronic Peptic Ulcer

Qvist

1974

Proceedings of the Royal Society of Medicine

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Motor activity and spasm were for many years regarded as factors of great importance in the genesis and symptomatology of chronic peptic ulcer. In recent times, however, the factor of myospasm has claimed far less attention, the emphasis being placed almost entirely on acidity as being of greatest significance in the etiology, symptomatology and therapy of peptic ulceration. There is little reference in current literature to the relief of muscle spasm as a factor of importance in the healing of peptic ulcer.It is suggested that motor activity is in fact an important element in the pathology and clinical features of chronic peptic ulcer. There are numerous conditions in which myospasm and peptic ulcer are associated and also some conditions of gastrointestinal hypotonia in which peptic ulcer is rarely found.

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“…The operation of mucosal pyloroplasty (Qvist and Fox, 1969) avoids most of the disadvantages of other methods of pyloroplasty. The gastroduodenal area is incised longitudinally for approximately 7.0cm.…”

Section: Truncal Vagotom Y and Mucosal Pylorop Lasty In The Treatme N...mentioning

confidence: 99%

Truncal Vagotomy and Mucosal Pyloroplasty in the Treatment of Chronic Duodenal Ulceration

Brown

1974

Int J Clinical Practice

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Mucosal pyloroplasty

Cited by 7 publications

References 7 publications

Operative treatment of high gastric ulcer with special reference to Pauchet's method

Operative treatment of high gastric ulcer with special reference to Pauchet's method

President's Address. Muscle Spasm in the Etiology of Chronic Peptic Ulcer

Truncal Vagotomy and Mucosal Pyloroplasty in the Treatment of Chronic Duodenal Ulceration

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