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April 1974

Parietal Cell Vagotomy Without Drainage: Early Evaluation of Results in the Treatment of Duodenal Ulcer

Author Affiliations

From the Surgical Services of the Cora and Webb Mading Department of Surgery, Baylor College of Medicine; and the Veterans Administration Hospital, Houston.

Arch Surg. 1974;108(4):434-441. doi:10.1001/archsurg.1974.01350280040008

Parietal cell vagotomy (PCV) without drainage was performed on 35 patients with no mortality and no serious morbidity. Thirty-two patients were followed up for two months, 30 for six months, and 14 for one year. There have been no recurrent duodenal ulcers. Mild dumping symptoms occurred in three patients and diarrhea in one. None had problems with gastric emptying or pronounced gastric symptoms, persistent dysphagia, developed evidence of hiatus hernia, or had substantial weight loss. The clinical results were considered excellent or good by all patients. At six months, basal acid output was reduced 74.3%, maximal acid output 61.7%, and insulin acid output 88.8% compared with preoperative values. Our results confirmed early, good reports of others; however, the ultimate value of PCV without drainage for treatment of duodenal ulcer is not yet predictable.

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