Proximal Gastric Vagotomy Compared with Vagotomy and Antrectomy and Selective Gastric Vagotomy and Pyloroplasty
- 1 October 1977
- journal article
- research article
- Published by Wolters Kluwer Health in Annals of Surgery
- Vol. 186 (4), 510-517
- https://doi.org/10.1097/00000658-197710000-00013
Abstract
A prospective, randomized study of proximal gastric vagotomy without drainage (PGV) was done in 174 adult men with chronic duodenal ulcer intractable to medical therapy. PGV was randomized against truncal vagotomy with antrectomy (TV + A) and against selective gastric vagotomy with Finney pyloroplasty (SGV + P). Postgastrectomy sequelae (dumping, diarrhea and reflux gastritis) were less after PGV. After PGV, 1 patient developed a recurrent ulcer as did 1 patient after SGV + P. Two patients developed gastric ulcers after PGV. Good to excellent results (Visick I and II) were obtained in 96% of patients with PGV, 94% with TV + A and 86% with SGV + P. Follow-up studies were from 6 mo.-4 yr.This publication has 11 references indexed in Scilit:
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