Summary and conclusion
A total of 102 patients who underwent hemigastrectomy and truncal vagotomy for bleeding peptic ulcers were followed for 6–12 years. Eighty per cent of these patients had a follow-up of 8 years or more. The recurrence of hemorrhage after this operation has been 6.8%. None of these patients bled massively or required a second operation. These results are notably more favorable than those previously reported. The relatively low mortality and the high rate of effectiveness of hemigastrectomy with vagotomy and gastrojejunostomy in the present series demonstrate the superiority of this procedure as the surgical treatment of choice for the control of bleeding from peptic ulcers.
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References
The bleeding ulcer.Lancet 2:538, 1966.
Chinn, A. B., Littell, A. S., Badger, G. F., andBeams, A. J. Acute hemorrhage from peptic ulcer; a follow-up study of 310 patients.New Eng J Med 255:973, 1956.
Donaldson, R. M., Handy, J., andPapper, S. Five-year follow-up study of patients with bleeding duodenal ulcer with and without surgery.New Eng J Med 259:201, 1958.
Leape, L. L., andWelch, C. E. Late prognosis of patients with upper gastrointestinal hemorrhage.Amer J Surg 107: 291, 1964.
Serebro, H. A., andMendeloff, A. I. Late results of medical and surgical treatment of bleeding peptic ulcer.Lancet 2: 505, 1966.
Langman, M. J. S. Relationship between pre-operative bleeding and perforation and bleeding after operations for duodenal ulcer.Gut 6:134, 1965.
Enquist, I. F., Karlson, K. E., Dennis, C, Fierst, S. M., andShafton, G. W. Statistically valid ten-year comparative evaluation of three methods of management of massive gastroduodenal hemorrhage.Ann Surg 162:550, 1965.
Read, R. C, Huehel, H. D., andThal, A. P. Randomized study of massive bleeding from peptic ulceration.Am Surg 162:561, 1965.
Brooks, J. R., andEraklis, A. J. Factors affecting the mortality from peptic ulcer.New Eng J Med 271:803, 1964.
Foster, J. H., Hickock, D. F., andDunphy, J. E. Changing concepts in surgical treatment of massive gastroduodenal hemorrhage.Ann Surg 161:968, 1965.
Lynch, J. D., Jernigan, S. K., Trotta, P. H., andClemens, B. E. Incidence and analysis of failure with vagotomy and Heineke-Mikulicz pyloroplasty.Surgery 58:483, 1965.
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Moghadam, M., Haubrich, W.S. Long-term results of hemigastrectomy with vagotomy in the treatment of bleeding peptic ulcers. Digest Dis Sci 12, 1000–1003 (1967). https://doi.org/10.1007/BF02233259
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DOI: https://doi.org/10.1007/BF02233259