Autor(es):
Branco, A; Clínica Universitária de Cirurgia I, H. S. M., F. M. L., Lisboa. 
; Ferreira, M J ; Fernandes, F V
Data: 1970
Origem: Acta Médica Portuguesa
Detalhes do Documento
Quality control of vagotomy in duodenal ulcer perforation.
Descrição
The efficacy of truncal vagotomy combined with pyloroplasty has been studied in 56 patients, divided into the following groups: Group I-29 patients submitted to bilateral truncal vagotomy (BTV) and pyloroplasty, as the method of treatment to solve the problem of perforated duodenal ulcer (initial and retrospective phase of study). Group II-With 11 patients, who underwent the same operation as those in Group I but with the surgeon's knowledge of the results of phase I and also awareness of the laboratory control of its surgery (prospective phase). Group III-A control Group of 16 patients, with chronic duodenal ulcer submitted to a routine proximal gastric vagotomy (superselective or hyperselective vagotomy). All of the patients were clinically evaluated and all of them have done acid secretion studies (Kay and Sham-Feeding test). Basal acid output (BAO), maximum acid output after Sham-Feeding (PAOsf), and pentagastrine (PAOpg), were determined in order to control the efficacy of vagotomy. In group III, results were compared with those obtained pre-operatively. In Group I, 48.27% of patients had a PAOsf higher than 4 mEq/hour-value which has been considered the maximum level of normality after complete BTV without gastric resection. In Group II, the number of patients with incomplete vagotomy decrease to 18.18%. In Group III, all the patients had a PAOsf lower than 4 mEq/hour and 83.81% of acidity reduction after Sham-Feeding test, in comparision with the pre-operative values.(ABSTRACT TRUNCATED AT 250 WORDS) The efficacy of truncal vagotomy combined with pyloroplasty has been studied in 56 patients, divided into the following groups: Group I-29 patients submitted to bilateral truncal vagotomy (BTV) and pyloroplasty, as the method of treatment to solve the problem of perforated duodenal ulcer (initial and retrospective phase of study). Group II-With 11 patients, who underwent the same operation as those in Group I but with the surgeon's knowledge of the results of phase I and also awareness of the laboratory control of its surgery (prospective phase). Group III-A control Group of 16 patients, with chronic duodenal ulcer submitted to a routine proximal gastric vagotomy (superselective or hyperselective vagotomy). All of the patients were clinically evaluated and all of them have done acid secretion studies (Kay and Sham-Feeding test). Basal acid output (BAO), maximum acid output after Sham-Feeding (PAOsf), and pentagastrine (PAOpg), were determined in order to control the efficacy of vagotomy. In group III, results were compared with those obtained pre-operatively. In Group I, 48.27% of patients had a PAOsf higher than 4 mEq/hour-value which has been considered the maximum level of normality after complete BTV without gastric resection. In Group II, the number of patients with incomplete vagotomy decrease to 18.18%. In Group III, all the patients had a PAOsf lower than 4 mEq/hour and 83.81% of acidity reduction after Sham-Feeding test, in comparision with the pre-operative values.(ABSTRACT TRUNCATED AT 250 WORDS)
The efficacy of truncal vagotomy combined with pyloroplasty has been studied in 56 patients, divided into the following groups: Group I-29 patients submitted to bilateral truncal vagotomy (BTV) and pyloroplasty, as the method of treatment to solve the problem of perforated duodenal ulcer (initial and retrospective phase of study). Group II-With 11 patients, who underwent the same operation as those in Group I but with the surgeon's knowledge of the results of phase I and also awareness of the laboratory control of its surgery (prospective phase). Group III-A control Group of 16 patients, with chronic duodenal ulcer submitted to a routine proximal gastric vagotomy (superselective or hyperselective vagotomy). All of the patients were clinically evaluated and all of them have done acid secretion studies (Kay and Sham-Feeding test). Basal acid output (BAO), maximum acid output after Sham-Feeding (PAOsf), and pentagastrine (PAOpg), were determined in order to control the efficacy of vagotomy. In group III, results were compared with those obtained pre-operatively. In Group I, 48.27% of patients had a PAOsf higher than 4 mEq/hour-value which has been considered the maximum level of normality after complete BTV without gastric resection. In Group II, the number of patients with incomplete vagotomy decrease to 18.18%. In Group III, all the patients had a PAOsf lower than 4 mEq/hour and 83.81% of acidity reduction after Sham-Feeding test, in comparision with the pre-operative values.(ABSTRACT TRUNCATED AT 250 WORDS) The efficacy of truncal vagotomy combined with pyloroplasty has been studied in 56 patients, divided into the following groups: Group I-29 patients submitted to bilateral truncal vagotomy (BTV) and pyloroplasty, as the method of treatment to solve the problem of perforated duodenal ulcer (initial and retrospective phase of study). Group II-With 11 patients, who underwent the same operation as those in Group I but with the surgeon's knowledge of the results of phase I and also awareness of the laboratory control of its surgery (prospective phase). Group III-A control Group of 16 patients, with chronic duodenal ulcer submitted to a routine proximal gastric vagotomy (superselective or hyperselective vagotomy). All of the patients were clinically evaluated and all of them have done acid secretion studies (Kay and Sham-Feeding test). Basal acid output (BAO), maximum acid output after Sham-Feeding (PAOsf), and pentagastrine (PAOpg), were determined in order to control the efficacy of vagotomy. In group III, results were compared with those obtained pre-operatively. In Group I, 48.27% of patients had a PAOsf higher than 4 mEq/hour-value which has been considered the maximum level of normality after complete BTV without gastric resection. In Group II, the number of patients with incomplete vagotomy decrease to 18.18%. In Group III, all the patients had a PAOsf lower than 4 mEq/hour and 83.81% of acidity reduction after Sham-Feeding test, in comparision with the pre-operative values.(ABSTRACT TRUNCATED AT 250 WORDS)
Tipo de Documento
Artigo
Idioma Português
Idioma Português
| Financiadores do RCAAP | |||||||
|
|
|
|
|
|
||