Resumo

WILLIAMS GUERRA, Eduardo; RODILES MARTINEZ, Félix  e  PACHECO TELLEZ, Francisco. Highly selective vagotomy in the surgical treatment of duodenal peptic ulcer. Rev Cub Med Mil [online]. 1998, vol.27, n.1, pp. 22-28. ISSN 1561-3046.

Results obtained with the application to 60 patients of highly selective vagotomy in cases of duodenal and peptic ulcer from September, 1990 to December, 1994, are reported. Patients presenting with pyloric obstruction evidenced by the clinical picture, and radiologic and endoscopic studies were excluded, as well as carriers of certain diseases that made it impossible to determine the effectiveness of this technique. Twenty percent of the postoperative complications was found, and mortality accounted for 1.6 %. The predominant secondary effect was disphagia accounting for 47.4 %. Maximum time of surveillance was of 36 months. The classification according to the degress of Visick Gologher was as follow: I (66.8 %), II (19.2 %), III (5,3 %), and IV (8.7 %). Relapses were found in group IV. Results obtained in groups I and II (86.0 %) were considered satisfactory.

Palavras-chave : PEPTIC ULCER [surgery]; DUODENAL ULCER [surgery]; VAGOTOMY PROXIMAL GASTRIC.