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Management of the recurrent ulcer
Archives of Surgery (Chicago, Ill. : 1960)
|May 1, 1975
Summary
Surgical therapy involving vagotomy yielded the most satisfactory outcomes for patients with recurrent ulcers. Overall, 79% of patients experienced good results, demonstrating the effectiveness of surgical and medical treatments.
Area of Science:
- Gastroenterology
- Surgical Therapy
- Medical Treatments
Background:
- Recurrent ulcers pose a significant clinical challenge, necessitating effective treatment strategies.
- Previous treatments for recurrent ulcers have shown variable success rates.
Purpose of the Study:
- To evaluate the outcomes of various treatments for recurrent ulcers.
- To identify the most effective therapeutic approach for recurrent ulcer management.
Main Methods:
- A retrospective analysis of 117 patients with recurrent ulcers treated at the University of Michigan Medical Center.
- Patients received either surgical therapy (including vagotomy) or medical treatment.
Main Results:
- Vagotomy as surgical therapy resulted in the most satisfactory outcomes.
- Of 91 surgically treated patients, 71 had satisfactory results; 9 required a second operation, and 3 required a third.
- 21 patients were treated medically with satisfactory results.
- Overall, 92 of 117 patients (79%) achieved good results; 12 had residual symptoms, and 13 were lost to follow-up.
- No deaths were attributed to recurrent ulcers.
Conclusions:
- Vagotomy is a highly effective surgical intervention for managing recurrent ulcers.
- A combination of surgical and medical approaches can achieve good outcomes in a majority of patients with recurrent ulcers.
- Recurrent ulcer treatment, particularly with vagotomy, demonstrates a favorable safety profile.