Proximal gastric vagotomy compared with vagotomy and antrectomy and selective gastric vagotomy and pyloroplasty

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 pyloroplas...

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Bibliographic Details
Published in:Annals of surgery 1977-10, Vol.186 (4), p.510-517
Main Authors: Sawyers, J L, Herrington, Jr, J L, Burney, D P
Format: Article
Language:English
Subjects:
Adult
Aged
Duodenal Ulcer - surgery
Follow-Up Studies
Gastrectomy - methods
Humans
Male
Middle Aged
Postgastrectomy Syndromes - etiology
Postoperative Complications - etiology
Pulmonary Embolism - etiology
Pyloric Antrum - surgery
Pyloric Stenosis - etiology
Pylorus - surgery
Recurrence
Stomach - innervation
Surgical Wound Infection - etiology
Vagotomy - methods
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Summary: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. One patient after PGV developed a recurrent ulcer as did one 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 six months to four years.
ISSN:0003-4932
1528-1140
DOI:10.1097/00000658-197710000-00013