Abstract
A Retrospective study was made of 180 patients who had had surgery for chronic duodenal ulcer. One hundred and ten had highly selective vagotomy (HSV); 70 had truncal vagotomy and drainage (TV+D). The overall recurrence rate was 13.6% for H S V, 4.3% for TV+D. Eight patients with recurrent ulcers required further surgery, 2 having gastric ulceration after H S V. A questionnaire replied to by 171 patients indicated that 75 (70%) after H S V and 32 (50%) after TV+D were in excellent health. Diarrhoea was more frequent after TV+D (12.8%) than after H S V (1.8+). There was no mortality after H S V; one patient died from an unrelated cause after TV+D.
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We are grateful to the Department of Medical Records in St. Vincent’s Hospital, to Dr. M. Fitzgerald for his help in the study; to Mr. R. Conroy for helping with statistics and to Anne Tynan for typing the manuscript.
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Salam, I.M.A., Doorly, T., Hegarty, J.H. et al. Highly selective vagotomy versus truncal vagotomy and drainage for chronic duodenal ulceration: A ten year retrospective study (1972–1982). I.J.M.S. 153, 60–64 (1984). https://doi.org/10.1007/BF02937153
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DOI: https://doi.org/10.1007/BF02937153