Extended parietal cell vagotomy for the treatment of acute perforation of duodenal ulcer
- VernacularTitle:扩大的壁细胞迷走神经切断术治疗十二指肠溃疡急性穿孔的效果
- Author:
Shiyong LI
;
Shujun YUAN
;
Zhenjia LIANG
;
Qingxian GAO
;
Bo YU
;
Ping AN
;
En WU
;
Gang CHEN
- Publication Type:Journal Article
- Keywords:
Peptic ulcer perforation;
Vagotomy, proximal gastric
- From:
Chinese Journal of General Surgery
2001;0(07):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the long-term results of extended parietal cell vagotomy (EPCV) for the treatment of acutely perforated duodenal ulcer. Methods EPCV was performed on 239 patients. Results were analyzed retrospectively. Results Follow up was made on 203 out of 239 patients (84.9%). There was no operative mortality. Inhospital complications included injury to the spleen in 4 cases (1.7%), adhesive ileus in 6(2.5%), acute diarrhea in 3 (1.3%), and postprandial epigastric distention in 18 (7.5%). Long-term complications included epigastric pain and sour regurgitation in 16 cases(7.8%), enterolysis in 4(1.9%), duodenal bulb allaxis in 39(18.2%), chronic gastritis in 21(10.3%), and recurrent ulcer in 6(2.9%). Basic acid output, maximal acid output and peak acid output decreased by 84.7%, 60.0%, and 58.0% respectively(all P
