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Article (Scientific journals)
Truncal Vagotomy and Pyloroplasty Combined with Valvular Replacement in Patients with Ulcer Disease
Defraigne, Jean-Olivier; Innocenti, C.; DEKOSTER, Guy et al.
1991In Journal of Cardiovascular Surgery, 32 (1), p. 42-5
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Abstract :
[en] In 1988, 5 patients (3 men and 2 women) with ulcer disease (mean age 56 +/- 8 years) underwent valvular replacement for aortic (No. = 4) or mitral disease (No. = 1). All patients had had gastroduodenal ulcers. Preoperative gastroscopy demonstrated active ulcers (No. = 4) and a healed pyloric ulcer with pyloric stenosis (No. = 1). Despite the presence of ulcers, a non-biologic prosthesis was preferred in each patient because of their young age (No. = 3), chronic atrial fibrillation requiring anticoagulant therapy (No. = 1), and refusal of the eventuality of subsequent reoperation (No. = 1). In each patient, a truncal vagotomy with pyloroplasty was performed simultaneously with the valvular procedures by the same incision. The postoperative courses were uneventful. With a mean follow-up of 15 +/- 3 months, no gastrointestinal bleeding was observed during anticoagulant therapy. With anticoagulant drugs, bleeding may occur with a frequency of 4% per patient treatment-year, half of which are gastrointestinal in origin. Nevertheless, in selected patients with gastroduodenal ulcers, performing a vagotomy-pyloroplasty simultaneously with valvular replacement allows implantation of a non-biologic prosthesis, with greater durability than bioprosthesis.
Disciplines :
Surgery
Public health, health care sciences & services
Author, co-author :
Defraigne, Jean-Olivier ;  Université de Liège - ULiège > Département des sciences cliniques > Chirurgie cardio-vasculaire et thoracique
Innocenti, C.
DEKOSTER, Guy ;  Centre Hospitalier Universitaire de Liège - CHU > Chirurgie cardio-vasculaire
Limet, Raymond ;  Université de Liège - ULiège > Département des sciences cliniques > Chirurgie cardio-vasculaire et thoracique
Language :
English
Title :
Truncal Vagotomy and Pyloroplasty Combined with Valvular Replacement in Patients with Ulcer Disease
Publication date :
1991
Journal title :
Journal of Cardiovascular Surgery
ISSN :
0021-9509
Publisher :
Edizioni Minerva Medica, Turin, Italy
Volume :
32
Issue :
1
Pages :
42-5
Peer reviewed :
Peer Reviewed verified by ORBi
Available on ORBi :
since 07 August 2012

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