Anterior lesser curve seromyotomy and posterior truncal vagotomy for chronic duodenal ulcer
Moss, J.G.; Gunn, A.A.; Macleod, D.A.
Journal of the Royal College of Surgeons of Edinburgh 30(4): 239-241
1985
ISSN/ISBN: 0035-8835 PMID: 4057140 Document Number: 265440
Patients (178) in one surgical unit have undergone an anterior lesser curve seromyotomy and posterior truncal vagotomy for uncomplicated duodenal ulceration. There was one death (0.56%) and the immediate postoperative morbidity appears satisfactory. The first 66 patients are part of a pospective study and 63 have been followed up for a minimum of 2 years (mean 2.38 years). 44 (70%) patients are Visick I or II and 19 (30%) Visick III or IV. 7 (11.1%) recurrent ulcers have been confirmed at endoscopy and 3 patients have required a drainage procedure to relieve gastric stasis. Diarrhoea and dumping were not found to be troublesome post-vagotomy symptoms. Long term follow-up is essential before widespread adoption of this new ulcer operation.