. 1990; 1(2): 18-23 | |||
Selektif Vagotominin Kronik Duodenal Ülserde YeriAydan Sungurtekin1, Bekir Avar2, Yusuf Kılıç3, Hakan Güven4, Sedat Kamalı41Kartal Devlet Hastanesi, 2. Genel Cerrahi Kliniği, İstanbul2S.S.K. Okmeydanı Hastanesi, 5. Genel Cerrahi Kliniği Şefi, İstanbul 3S.S.K. Okmeydanı Hastanesi, 5. Genel Cerrahi Kliniği Uzmanı, İstanbul 4S.S.K. Okmeydanı Hastanesi, 5. Genel Cerrahi Kliniği Asistanı, İstanbul AMAÇ: Komplike veya nonkomplike toplam 86 Duodenal ülserli olguda selektif vagotomi, standart ameliyatlardan biriyle uygulandı. 60 olgu postoperatil' 6. ve 12. aylarda incelendi. Operatif ölüm %0, intraoperatif komplikasyonlar 2 (%3), postoperatif komplikasyonlar 9 (%15) olguda görüldü. 2 olguda residiv tespit edildi. Genel klinik neticeler %85 olguda " iyi", %93 olguda "yeterli" olarak değerlendirildi. %8 hafif Aydan Sungurtekin1, Bekir Avar2, Yusuf Kılıç3, Hakan Güven4, Sedat Kamalı41 2 3 4 OBJECTIVE: A prospective, controlled study on a standardized selection procedure of patients for surgical treatment and on astandardize operation technique of selective vagotomy was carried out with 86 patients suffering from chronical uncomplicated or complicated duodenal ulcers. The first controll was perfomed 6th to 12th months following surgical treatment in 60 patients. No operative mortality was obtained, intraoperative and postoperative complications were observed in 2 (3%) and 9 (15%) of patients, whereas recurrent ulcers were found in 2 (3%) cases. The overall assesment of the clinical condition according to a modified classification of Visick was "good" in 85% and "satisfactory" in 93% of the patients. Mild diarrhea was observed in 8%, severe diarrhea in none and mild dumping in 30% of the patients. Positive insulin tests according to criteria of Hollander were observed in 27% of the cases. Basal secretion was reduced hy 83-93%, the pentagastrin stimulaıed maximum secretion by 51-95%. This study was a preliminery research completed by another trial, in which two operative techniques Aydan Sungurtekin, Bekir Avar, Yusuf Kılıç, Hakan Güven, Sedat Kamalı. Selektif Vagotominin Kronik Duodenal Ülserde Yeri. . 1990; 1(2): 18-23 Sorumlu Yazar: Aydan Sungurtekin |
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