Reference : Truncal Vagotomy and Pyloroplasty Combined with Valvular Replacement in Patients with Ul...

	Document type :	Scientific journals : Article
	Discipline(s) :	Human health sciences : Surgery Human health sciences : Public health, health care sciences & services
	To cite this reference:	http://hdl.handle.net/2268/128533

Title :	Truncal Vagotomy and Pyloroplasty Combined with Valvular Replacement in Patients with Ulcer Disease
Language :	English
Author, co-author :	Defraigne, Jean-Olivier [Université de Liège - ULg > 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 - ULg > Département des sciences cliniques > Chirurgie cardio-vasculaire et thoracique]
Publication date :	1991
Journal title :	Journal of Cardiovascular Surgery (The)
Publisher :	Edizioni Minerva Medica
Volume :	32
Issue/season :	1
Pages :	42-5
Audience :	International
ISSN :	0021-9509
City :	Turin
Country :	Italy
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.
Target :	Researchers ; Professionals ; Students
Permalink :	http://hdl.handle.net/2268/128533

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