A Follow-up of Patients Operated Upon for Recurrence after Vagotomy and Drainage for Duodenal Ulcer

Abstract

Kronborg, O. 1973. A Follow-up of Patients Operated Upon for Recurrence after Vagotomy and Drainage for Duodenal Ulcer. Scand. J. Gastroent, S. 123-128.

Three criteria of recurrence after vagotomy and drainage for duodenal ulcer were found to be useful, as 50 of 62 patients selected by these criteria benefited from reoperation. The operative mortality was nil. The reduction of peak acid output after histamine was significantly larger after revagotomy and antrectomy than after revagotomy alone. The changes in Hollander response after revagotomy were not characteristic. The acid secretion measurements suggest that recurrence is best treated with revagotomy and antrectomy, but that antrectomy may be sufficient in most patients, while revagotomy alone may be followed by a high risk of a new recurrence.

Key-words::

• Antrectomy
• duodenal ulcer
• Hollander response
• hydrochloric acid
• peak acid output (PAO)
• recurrence
• revagotomy
• vagotomy