Högström H, Lannerstad O
Ann Chir Gynaecol. 1984;73(5):245-8.
Ninety-two patients operated on electively for recurrent peptic ulcer during the years 1970-1979 were subjected to follow-up after two to twelve years. Two patients died in connection with the reoperation and a third patient during the follow-up time of complications to the ulcer disease (3%). Postoperative complications developed in nine patients (26%) after resection and in five patients (8%) after vagotomy. Ten of 87 patients, who had the combination of vagotomy and resection as a result of the original and present operation, developed suspected or proven recurrent ulcer (11%) while this occurred in four of seven (57%) who had not had this combination. At the follow-up 54% of the patients were classified as Visick I or II. Most of the patients classified as Visick III or IV were so, not because of recurrent ulcer but because of side-effects like dumping, diarrhoea, and vomiting.
1970年至1979年间，92例因复发性消化性溃疡接受择期手术的患者在术后两至十二年接受了随访。两名患者在再次手术过程中死亡，第三名患者在随访期间死于溃疡病并发症（3%）。切除术后有9例患者（26%）出现术后并发症，迷走神经切断术后有5例患者（8%）出现并发症。87例因初次手术和本次手术而接受迷走神经切断术与切除术联合手术的患者中，有10例出现疑似或确诊的复发性溃疡（11%），而在未接受这种联合手术的7例患者中有4例出现复发性溃疡（57%）。在随访时，54%的患者被归类为Visick I级或II级。大多数被归类为Visick III级或IV级的患者并非因为复发性溃疡，而是由于倾倒、腹泻和呕吐等副作用。
