Highly selective vagotomy and pyloric dilatation for duodenal ulcer with stenosis
- 1 March 1981
- journal article
- Published by Oxford University Press (OUP) in British Journal of Surgery
- Vol. 68 (3) , 194-196
- https://doi.org/10.1002/bjs.1800680317
Abstract
This paper presents the results obtained in 15 patients with duodenal ulcer and stenosis who were treated more than 3years ago by highly selective vagotomy (HSV) and dilatation of the stenosis without a gastric drainage procedure. Patients were taking solid food 3–6 days postoperatively and were discharged after 7–14 days. There have been no recurrent stenoses. Fourteen of the 15 patients were Visick grade 1 or 2 at their last visit. One patient has a recurrent ulcer, but no restenosis. Barium meals performed on 6 patients with severe stenosis preoperatively showed satisfactory gastric emptying 1–3 years postoperatively. HSV and pyloric dilatation seems to be a safe and effective procedure for the treatment of pyloric stenosis due to chronic duodenal ulceration.Keywords
This publication has 3 references indexed in Scilit:
- Peroperative grading of pyuloric stenosis: A long term clinical and radiolgoical follow-up of patients with servere pyloric stenosis treated by highly selective vagotomy and dilatation of the strictureBritish Journal of Surgery, 1978
- Highly selective vagotomy plus dilatation of the stenosis compared with truncal vagotomy and drainage in the treatment of pyloric stenosis secondary to duodenal ulceration.Gut, 1976
- Highly selective vagotomy without a drainage procedure in the treatment of haemorrhage, perforation, and pyloric stenosis due to peptic ulcerBritish Journal of Surgery, 1973