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  • Title: Selective proximal vagotomy without drainage in the treatment of duodenal ulcer. The results after a standardization of the surgical technique. A five-year follow-up.
    Author: Hedenstedt S, Schayah N, Moberg S.
    Journal: Acta Chir Scand; 1980; 146(1):31-4. PubMed ID: 7376780.
    Abstract:
    Selective proximal vagotomy without polyoroplasty has been shown to be a difficult operation to perform and some investigator have got a rather high frequency of recurrencies and operative complications. In an attempt to reduce the surgical failures a standardization of the operation has been undertaken. In the present material the long term results of a material operated upon with stardardized technique has been estimated. The operation resulted in a high reduction of the ability to secret acid. 90% of the patients had almost no side effects of the operation and 4.4% got a relapse. The relapses developed in patients with a negative postoperative insulin test. The prognostic value of the insulin test seems therefore doubtful.
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