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  • Title: [Supra-selective vagotomy in the treatment of perforated duodenal ulcers. Thirty cases report (author's transl)].
    Author: Ronsse H, Breil P, Fekete F.
    Journal: Sem Hop; 1982 Feb 18; 58(7):407-10. PubMed ID: 6280312.
    Abstract:
    Thirty patients with acute perforated duodenal ulcer were managed by supra-selective vagotomy and simple closure of the perforation. There was no operative mortality and a low morbidity. Fourteen patients have had gastric studies between four and thirty-two months after operation. Three patients had transitory epigastric fullness (21%); there was no diarrhea or dumping, but two recurrences (14%). The risk of ulcer recurrence after simple closure is high; supra-selective vagotomy as a definitive ulcer therapy, does not increase operative mortality, and has mild digestive sequelaes, for an acceptable rate of recurrence.
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