[Anastomotic ulcer after vagotomy for duodenal ulcer]
Tunisie Medicale [La]. 2005; 83 (6): 335-340
in French
| IMEMR
| ID: emr-75366
ABSTRACT
Between January 1981 and December 2000, 2609 patient underwent surgery for duodenal ulcer. 2274 underwent isolated vagotomy; 1590 had vagotomy associated with GI anastomosis. Only relapses of anostomic ulcers after vagotomy associated with gastrojejunal anastomosis were included in this study. 22 patients [20 males, 2 females] aged between 26 and 79 years had anastomic ulcer relapses [1.38%] after vagotomy and GI anastomosis. Incomplete vagotomy was diagnosed in 14 cases [93%] associated with a defect in setting in 2 cases. Despite the ongoing controversy about the role of Helicobacter in the pathogenesis of anastomotic ulcers, medical treatment remains the primary therapy, and a partial gastrectomy alone or with vagotomy is necessary only in unresponsive cases
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Index:
IMEMR (Eastern Mediterranean)
Main subject:
Recurrence
/
Vagotomy
/
Retrospective Studies
/
Helicobacter pylori
Limits:
Female
/
Humans
/
Male
Language:
French
Journal:
Tunisie Med.
Year:
2005
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