𝔖 Bobbio Scriptorium
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Excision of anal transition zone

✍ Scribed by J. M. Enriquez; J. Camuñas; M. R. B. Keighley; K. Yoshioka

Publisher
John Wiley and Sons
Year
1988
Tongue
English
Weight
155 KB
Volume
75
Category
Article
ISSN
0007-1323

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✦ Synopsis

A further 5 recurred within 6 1 0 years after surgery and only 1 recurrence occurred 11 years after surgery. On Hoffmann's criteria, 7 of our recurrences could be classified as transient/innocuous (35 per cent) and the remaining 13 as chronic/malevolent (65 per cent). This would give our series a chronic recurrent ulcer rate of some 7.1 per cent.

In Hoffmann's series, 13 of 32 recurrences (41 per cent) occurred 10-17 years after surgery. Their results cast a shadow on the long term efficacy of parietal cell vagotomy for duodenal ulceration. In contrast our recurrent ulcer rate over 5-15 years in 183 patients was only 11 per cent, with most occurring in the first 5 years after surgery. This compares favourably with figures in the literature which range from 1 I to 25 per cent' over similar follow-up periods. In our opinion, these results would justify the continued use of parietal cell vagotomy in the surgical treatment of duodenal ulceration.

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