Proximal Gastric Vagotomy
As mentioned in Chap. 18, proximal gastric vagotomy without a drainage procedure has the smallest number of undesirable postoperative sequelae and the lowest mortality rate of any operation for duodenal ulcer. On the other hand, the incidence of recurrent ulcer after this procedure may reach 10% over the course of a 10-year follow-up period. Because many of the complications following drainage procedures and gastric resection can be extremely unpleasant — such as dumping, weight loss, and malabsorption — it may prove worthwhile to assume the risk of a 10% recurrence rate to avert all these complications.
KeywordsDuodenal Ulcer Vagus Nerve Gastric Wall Distal Esophagus Esophagogastric Junction
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