5-Year Results of Highly Selective Vagotomy in Elective Surgical Treatment of Duodenal Ulcer

Year 1981, Volume: 34 Issue: 4, 689 - 698, 31.12.1981

Nusret Torun

https://izlik.org/JA72FP59FY

Abstract

1971-1980 yılları arasında drenajlı ve drenajsız yüksek selektif vagotomi yapılmış 225 olgunun 5 yılılk takiplerine ait sonuçları tartışılmaktadır.Duodenum ülserinin selektif cerrahi tedavisi için uygulanan yöntemin sonuçlarının kanıtladığı gibi, duodenum ülser cerrahi tedavisine, diğer cerrahi yöntemler ile karşılaştırdığımızda avantaj olarak değerlendirilen katkılar getirmiştir. Örneğin : çoğu kez drenaja ihtiyaç duyulmaması, nazogastrik aspirasyona gereksinme olmaması, erken oral beslenmeye olanak sağlaması, dumping, diyare, mide boşalmasında güçlük gibi geç postoperatif devrede ortaya çıkan karışımların ya hiç görülmemesi, ya da çok asgari düzeye inmiş olması yanında, mide asiditesini ülser yapmayacak seviyelerde kontrol etmesi, buna paralel olarak ta nüks ülser sıklığının düşük olması, bu yöntemin duodenum ülseri elektif cerrahi tedavisinin güvenle uygulanabileceğini göstermiştir.

Keywords

duodenum , vagotomi , sonuç

Duodenum Ülserinin Elektif Cerrahi Tedavisinde, Yüksek Selektif Vagotomi'nin 5 Yıllık Sonuçları

https://izlik.org/JA72FP59FY

Abstract

The results of the 5-year follow-up of 225 cases who underwent highly selective vagotomy with or without drainage between 1971 and 1980 are discussed. As the results of the method applied for the selective surgical treatment of duodenal ulcer prove, it has made contributions to the surgical treatment of duodenal ulcer that are considered as advantages when compared to other surgical methods. For example: the fact that drainage is not required most of the time, that nasogastric aspiration is not required, that it allows early oral feeding, that late postoperative complications such as dumping, diarrhea, and difficulty in emptying the stomach are either not seen at all or are very minimal, that it controls the stomach acidity at levels that will not cause ulcers, and that the frequency of recurrent ulcers is low, have shown that this method can be safely applied in the elective surgical treatment of duodenal ulcer.

Keywords

duodenum , vagotomi , sonuç

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