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Article: Thoracoscopic vagotomy for recurrent ulcer after previous gastric operation

TitleThoracoscopic vagotomy for recurrent ulcer after previous gastric operation
Authors
Issue Date1997
PublisherBlackwell Publishing Asia. The Journal's web site is located at http://www.blackwellpublishing.com/journals/ANS
Citation
Australian And New Zealand Journal Of Surgery, 1997, v. 67 n. 4, p. 177-180 How to Cite?
AbstractBackground: Recurrent peptic ulcer after previous gastric operation is a difficult surgical problem and abdominal re-operation is associated with significant morbidity, mortality and recurrence rate. Methods: The authors report on five patients with recurrent ulcers who, after previous gastric operation, were treated with thoracoscopic vagotomy. Results: All patients tolerated the procedure well without complications, and the median hospital stay was 5 days. Endoscopy confirmed healing of the ulcers in all patients. Pre-operative and postoperative gastric acid studies showed a significant post-operative reduction in both basal and maximal acid output (P < 0.05). In a follow-up period of 18-33 months, one patient had a recurrent ulcer presenting with bleeding. Gastric biopsy revealed presence of Helicobacter pylori and repeated gastroscopy after a course of H. pylori eradication treatment showed a healed ulcer. The other four patients were asymptomatic. Conclusions: We conclude that thoracoscopic vagotomy is a simple and safe procedure for the treatment of recurrent ulcers after previous gastric operation, but the long-term results need further assessment.
Persistent Identifierhttp://hdl.handle.net/10722/172731
ISSN
2003 Impact Factor: 0.874
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorPoon, Ren_US
dc.contributor.authorChow, Len_US
dc.contributor.authorBoon, LMen_US
dc.contributor.authorGertsch, Pen_US
dc.date.accessioned2012-10-30T06:24:32Z-
dc.date.available2012-10-30T06:24:32Z-
dc.date.issued1997en_US
dc.identifier.citationAustralian And New Zealand Journal Of Surgery, 1997, v. 67 n. 4, p. 177-180en_US
dc.identifier.issn0004-8682en_US
dc.identifier.urihttp://hdl.handle.net/10722/172731-
dc.description.abstractBackground: Recurrent peptic ulcer after previous gastric operation is a difficult surgical problem and abdominal re-operation is associated with significant morbidity, mortality and recurrence rate. Methods: The authors report on five patients with recurrent ulcers who, after previous gastric operation, were treated with thoracoscopic vagotomy. Results: All patients tolerated the procedure well without complications, and the median hospital stay was 5 days. Endoscopy confirmed healing of the ulcers in all patients. Pre-operative and postoperative gastric acid studies showed a significant post-operative reduction in both basal and maximal acid output (P < 0.05). In a follow-up period of 18-33 months, one patient had a recurrent ulcer presenting with bleeding. Gastric biopsy revealed presence of Helicobacter pylori and repeated gastroscopy after a course of H. pylori eradication treatment showed a healed ulcer. The other four patients were asymptomatic. Conclusions: We conclude that thoracoscopic vagotomy is a simple and safe procedure for the treatment of recurrent ulcers after previous gastric operation, but the long-term results need further assessment.en_US
dc.languageengen_US
dc.publisherBlackwell Publishing Asia. The Journal's web site is located at http://www.blackwellpublishing.com/journals/ANSen_US
dc.relation.ispartofAustralian and New Zealand Journal of Surgeryen_US
dc.subject.meshAdulten_US
dc.subject.meshEndoscopyen_US
dc.subject.meshGastrectomyen_US
dc.subject.meshGastric Acid - Secretionen_US
dc.subject.meshHelicobacter Infectionsen_US
dc.subject.meshHelicobacter Pylorien_US
dc.subject.meshHumansen_US
dc.subject.meshMaleen_US
dc.subject.meshMiddle Ageden_US
dc.subject.meshPeptic Ulcer Hemorrhage - Etiology - Microbiology - Surgeryen_US
dc.subject.meshPostoperative Complications - Surgeryen_US
dc.subject.meshRecurrenceen_US
dc.subject.meshReoperationen_US
dc.subject.meshThoracoscopyen_US
dc.subject.meshVagotomy, Truncal - Methodsen_US
dc.titleThoracoscopic vagotomy for recurrent ulcer after previous gastric operationen_US
dc.typeArticleen_US
dc.identifier.emailPoon, R: poontp@hkucc.hku.hken_US
dc.identifier.authorityPoon, R=rp00446en_US
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.1111/j.1445-2197.1997.tb01935.x-
dc.identifier.pmid9137157-
dc.identifier.scopuseid_2-s2.0-0030894226en_US
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-0030894226&selection=ref&src=s&origin=recordpageen_US
dc.identifier.volume67en_US
dc.identifier.issue4en_US
dc.identifier.spage177en_US
dc.identifier.epage180en_US
dc.identifier.isiWOS:A1997WT91700006-
dc.publisher.placeAustraliaen_US
dc.identifier.scopusauthoridPoon, R=7103097223en_US
dc.identifier.scopusauthoridChow, L=7202532995en_US
dc.identifier.scopusauthoridBoon, LM=36879131000en_US
dc.identifier.scopusauthoridGertsch, P=35458223300en_US

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