Drainage Operations for Vagotomy

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Distribution of a liquid meal within the stomach and gastric emptying after vagotomy and drainage operations.

The intragastric distribution of a radionuclide labelled liquid meal was studied in 62 patients with duodenal ulceration by means of a gamma camera imaging system. A total of 85 gastric emptying studies (23 preoperative and 62 postvagotomy tests) revealed three distinct patterns of distribution. The activity distribution in the stomach after vagotomy showed a slower rate of return and a decreas...

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Selective vagotomy without drainage. An interim report.

The results of surgical treatment for duodenal ulcer were compared in two groups of patients-51 who had undergone selective vagotomy without drainage and 17 who had had selective vagotomy and pyloroplasty. It is suggested that in the absence of organic pyloric or duodenal stenosis the former method seems both preferable and desirable, since postoperativley dumping does not occur and there is a ...

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Metabolic effects of vagotomy and gastric drainage.

IN 1943 Dragstedt & Owens changed the established surgical treatment for chronic duodenal ulceration by re-introducing the operation of vagotomy. It was rapidly recognized that, together with vagotomy, a gastric drainage procedure of some type was essential (Dragstedt & Schafer, 1945). In its early years, vagotomy and drainage rapidly gained in popularity on the basis of simplicity and the low ...

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Evaluation of drainage procedures combined with vagotomy.

Methods It was a prospective study with randomization of the drainage procedures carried out on patients admitted to hospital for the surgical treatment of chronic duodenal ulceration. The following estimations were made preand post-operatively: Chemical frecal fat, fecal excretion, and absorption of radioisotope-labelled triolein and oleic acid, together with serum levels of lipids, the labell...

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Late mortality after vagotomy and drainage for duodenal ulcer.

Seven hundred and thirty five patients who underwent elective vagotomy and drainage procedures in one hospital during 1957-67 were followed up until 1 September 1982. At this time 281 were dead compared with an expected 184. This gives a ratio of observed to expected deaths of 1.53 (p less than 0.0001). The most important cause of increased mortality was lung cancer, which accounted for 33 of t...

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ژورنال

عنوان ژورنال: Proceedings of the Royal Society of Medicine

سال: 1967

ISSN: 0035-9157

DOI: 10.1177/003591576706000310