[Long-term results of extended parietal cell vagotomy in treatment of duodenal XXXX and their complications: report of 321 cases].

@entity1 @entity1066 @entity850 @entity548
OBJECTIVE: To study the long-term results of extended parietal cell vagotomy (EPCV) in the treatment of @entity1 with duodenal @entity1066 and their complications. METHODS: Form 1979 to 2001, EPCV was performed in 321 @entity1 with duodenal @entity1066 and their complications. Of these @entity1 56 had chronic duodenal @entity1066 , 204 perforation, 16 @entity548 and 40 @entity850 . The following items were evaluated: complications of operation, gastric secretion, gastric emptying, endoscopical and radiographical findings, nutritional status, absorption function, and Visick scale. RESULTS: Postoperative follow-up ranged from 0.5 to 22.0 years (mean 11.3 years) in 289 of the 321 @entity1 with a follow-up rate of 90.0%. Neither operative mortality nor dumping syndrome was noted. Episodic postprandial fullness occurred in 19 @entity1 (6.5%), acid regurgitation in 17 (5.8%) and adhesive ileus in 4 (1.4%). Ulceration recurred in 16 @entity1 (5.5%). Duodenal @entity1066 was seen in 8 @entity1 (19.5%), @entity548 in 0 (0%), @entity850 in 2 (5.3%), and perforation in 6 (3.1%). @entity1066 healed rapidly after medical therapy in 10 @entity1 . Six @entity1 received antrectomy and gastrectomy. In 289 (91.7%) @entity1 of Grade I and II of Visick scale, 191 (95.3%) had perforation. CONCLUSIONS: EPCV is easy to perform with a low rate of post operative complication and @entity1066 recurrence. It should be a treatment of choice for acute perforation, @entity548 or @entity850 due to duodenal @entity1066 .
