Results of Elective Duodenal Ulcer Surgery in Women

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Abstract
A retrospective comparative analysis of results in 90 women patients who underwent 3 different elective operations for intractable duodenal ulcer disease is provided. Group I (30 patients) underwent truncal vagotomy/antrectomy (TV + A); Group II (30 patients) underwent gastric selective vagotomy/pyloroplasty (GSV + P); and Group III underwent proximal gastric vagotomy (PGV). There were no operative deaths among the 90 patients. No patient after TV + A had developed a recurrent ulcer. Two recurrent ulcers developed after GSV + P, and 1 gastric ulcer occurred after PGV. Dumping, diarrhea and reflux gastritis were lower after PGV than with TV + A and GSV + P. Follow-up studies were from 6 mo-10 yr. The clinical results among the 3 groups of women patients compared favorably with results obtained in a recent prospective randomized study using the identical operative procedures in 3 groups of men patients operated on for intractability. There was no statistically significant difference between women and men after similar operative procedures, but the postgastrectomy sequelae were less after PGV in both women and men patients.