Reoperation for recurrent peptic ulceration

Muscroft, T. J.; Taylor, Eric; Deane, S. A.; Alexander-Williams, J

doi:10.1002/bjs.1800680204

Cited by 12 publications

(3 citation statements)

References 8 publications

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“…Miranda et al [28] state that in 50% of their cases with an antiperistal tic jejunal interposition, the dumping syndrome was just exchanged for EGR. Several authors claim that recon struction of pylorus is a procedure suitable for treating gastric incontinence to some extent, but has little to offer in cases with EGR [7,13,25], Muscroft et al [29] report an extremely high morbid ity of 47% after antrectomy with Billroth I gastroduodenostomy for recurrent ulceration and conclude that another type of gastroenteroanastomosis such as Rouxen-Y must be considered; a conclusion also supported by Cooper and Bell [10], who reported a very low morbidity after antrectomy with Roux-en-Y reconstruction for re current ulceration.…”

Section: Discussionmentioning

confidence: 99%

Roux-en-Y Procedure for Recurrent Ulcer, Bile Reflux and Dumping Syndrome following Antiulcer Gastric Surgery

Vassilakis¹,

Xynos²,

Neonakis³

et al. 1988

Dig Surg

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Twelve patients, who previously had surgery for peptic ulcer, underwent a Roux-en-Y procedure for the treatment of a combination of severe symptoms. The original operation was truncal vagotomy with pyloroplasty in 7 and Billroth II gastrectomy in 5 patients. In those 5 patients a truncal vagotomy was added. Enterogastric reflux (EGR) was documented preoperatively with milk-EHIDA scintigraphy in all of them, and 8 patients had dumping syndrome with a positive dumping provocation test (DPT). Recurrence of ulceration was found preoperatively in 4 patients. All patients were classified as Visick III or IV. At an average follow-up of 2.5 years, all patients but 1 were classified as Visick I or II. DPT was negative and EGR was almost totally abolished in all subjects. Only 3 patients had mild symptoms of gastric stasis, although gastric emptying of solids as evaluated with gastric scintigraphy of a labelled test meal was found significantly delayed in all patients as compared to healthy volunteers. Gastrectomy with Roux-en-Y gastrojejunostomy is an effective procedure for the treatment of enterogastric reflux, dumping syndrome and recurrent ulceration, especially when these problems coexist in the same patient.

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Section: Discussionmentioning

confidence: 99%

Roux-en-Y Procedure for Recurrent Ulcer, Bile Reflux and Dumping Syndrome following Antiulcer Gastric Surgery

Vassilakis¹,

Xynos²,

Neonakis³

et al. 1988

Dig Surg

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“…Few patients in the present series remained failures, in the real sense, since the majority of the patients with recurrence had this recurrence demonstrated only once and fared very well both before and after that seemingly isolated event. This apparently benign course of many recurrences after HSV has been mentioned by several authors [1][2][3][4] and is in contrast to that of roe after other operations which are often diiticult to treat [5,6].…”

mentioning

confidence: 83%

“…If a recurrent ulcer had been demonstrated during that period, the grading was Visick 4, otherwise a grade was given according to the patient's condition. Patients who required reoperation (3 for recurrent ulceration and 2 for stenosis) could applied by some authors [6,[14][15][16]. In the present study, no correction for experience was applied and no patients were excluded.…”

Section: Dynamic Visick Gradingmentioning

confidence: 94%

Dynamic Visick grading after highly selective vagotomy

Busman

Munting

1988

World j. surg.

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A continuous way of assessing the results after highly selective vagotomy (HSV) is presented, as applied in 262 patients operated on for duodenal ulcer. Regrading of ail patients who showed recurrences at any time is permitted according to their actual condition at each grading moment. The dynamic Visick grading shows the saine percentage of success at each assessment in spite of an ever increasing percentage of recurrences-many defined failures appear to be temporary failures--which is accounted for in this type of presentation.The conclusion is that HSV appears to favorably change the natural history of duodenal ulcer disease in 94% of patients at any time of assessment and that 3% of patients in the present series are graded as permanent failures.

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Polya gastrectomy for recurrent ulceration following vagotomy

Clark

Ward

1982

Journal of British Surgery

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Thirty-seven patients with recurrent ulceration after vagotomy were treated by Polya gastrectomy and have been followed up for a minimum of 3 years (median 5 years). The diagnosis of recurrent ulcer was made by endoscopy or at operation. Nine patients were initially treated with cimetidine and either failed to respond or relapsed on maintenance dosage. There were 2 operative deaths and 2 patients were lost to follow-up. The results of Polya gastrectomy were Visick grade I: 61 per cent, Visick grade II: 15 per cent, Visick grade III: 9 per cent and Visick grade IV: 15 per cent, Two patients had further recurrent ulceration.

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Reoperation for recurrent peptic ulceration

Cited by 12 publications

References 8 publications

Roux-en-Y Procedure for Recurrent Ulcer, Bile Reflux and Dumping Syndrome following Antiulcer Gastric Surgery

Roux-en-Y Procedure for Recurrent Ulcer, Bile Reflux and Dumping Syndrome following Antiulcer Gastric Surgery

Dynamic Visick grading after highly selective vagotomy

Polya gastrectomy for recurrent ulceration following vagotomy

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