Proximal gastric vagotomy in stenosed or perforated duodenal ulcer

Ferraz, Edmundo Machado; Filho, Horacio Alipio Ferreira; Bacelar, Tércio Souto; Lacerda, Cláudio Moura; Souza, Ayrton Ponce de; Kelner, S

doi:10.1002/bjs.1800680703

Cited by 20 publications

(1 citation statement)

References 11 publications

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“…That none of the 143 patients in Boey's series who were defined as good-risk patients died after definitive surgery attests to the importance and feasibility of patient selection. Several further reports [20][21][22][23] corroborate the safety of immediate definitive operations in selected patients [16].…”

Section: Discussionmentioning

confidence: 57%

Mortality in perforated duodenal ulcer depends upon pre-operative risk: a retrospective 10-year study

et al. 2010

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In patients with a perforated duodenal ulcer and ASA-score I-III, postoperative outcome is uniformly favourable. We recommend these patients have repair with peritoneal lavage performed, routinely followed postoperatively by empirical triple therapy. Given that mortality is equivalent between ASA IV/V patients whether managed operatively or conservatively, we suggest that both management options are equally justifiable.

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Section: Discussionmentioning

confidence: 57%

Mortality in perforated duodenal ulcer depends upon pre-operative risk: a retrospective 10-year study

et al. 2010

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Duodenoplasty and Proximal Gastric Vagotomy in Peptic Stenosis

Barroso¹,

Ornellas-Filho²,

Saboya³

et al. 1986

Arch Surg

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Simple suture with or without proximal gastric vagotomy for perforated duodenal ulcer

Ceneviva

Silva

Castelfranchi

et al. 1986

Journal of British Surgery

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To assess the results of proximal gastric vagotomy (PGV) in the definitive treatment of perforated duodenal ulcers, a prospective study was carried out comparing PGV in association with omental patch suture (PGV + S) with the simple omental patch suture procedure (S). The PGV + S series consisted of 38 consecutive patients with perforated duodenal ulcer and the S series consisted of 38 survivors of a similar series of 41 consecutive patients. Surgical mortality was zero in the PGV + S series. The patients were followed up for 1 to 7 years. No cases of dumping or diarrhoea were observed. Thirty-three patients in the PGV + S series (87 per cent) were classified as Visick grade I and only two (5 per cent) as Visick grade IV. In contrast, 11 patients (29 per cent) were Visick grade I and 22 (58 per cent) were Visick grade IV in the S series. Recurrent ulcer was detected endoscopically in 58 per cent of the patients who had been treated with simple suture and in only 5 per cent after suture plus PGV. PGV is a safe operation with a negligible morbidity rate and with a significant rate of effective control of ulcer disease. Depending on the general condition of the patient and on the surgeon's skill, it appears preferable to treat not only the acute perforation but also the ulcer disease by PGV.

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Proximal gastric vagotomy in stenosed or perforated duodenal ulcer

Cited by 20 publications

References 11 publications

Mortality in perforated duodenal ulcer depends upon pre-operative risk: a retrospective 10-year study

Mortality in perforated duodenal ulcer depends upon pre-operative risk: a retrospective 10-year study

Duodenoplasty and Proximal Gastric Vagotomy in Peptic Stenosis

Simple suture with or without proximal gastric vagotomy for perforated duodenal ulcer

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