Parietal cell vagotomy [P.C.V.] 15 years experience

ABSTRACT

Along 15 years, 106 patients had elective parietal cell vagotomy for duodenal ulceration. Ninty nine patients have complete follow up from 12 months to 15 years. Of those, 42 patients had surgery over 10 years ago and 35 patients survived for more than 10 years. There was no hospital mortality. Gastric stasis recorded early in 3 cases [3%] and 2 of them required reoperation in 2 patients splenectomy was required as a result of operative trauma. Mild dumping occured in 2 cases [2%] and mild diarrhea in other 2 cases, 40 cases suffered from early mild and transient [40.4%] dysphagia. From 2-10 years after surgery, thirty patients [30%] have had recurrent ulceration. In seven [7%] of these cases the recurrence was asymptomatic. The overall clinical results by using modified Vi-sick's were excellent and very good in 66.4% of cases and unsatisfaction in 33.6%