الفهرس | Only 14 pages are availabe for public view |
Abstract While medical treatment for peptic ulcer 1s moving towards stronger drugs with more side effects: surgery is moving towards simpler operations with less morbidity. Over the past century attitudes towards the effective surgical treatment of chronic uncomplicated duodenal ulcer have varied between the conservatism of gastroenterostomy and highly selective vagotomy and the radical assault on acid-pepsin secretion produced by truncal vagotomy with antrectomy. The more aggressive forms of surgery, whilst on the whole more effective in preventing ulcer recurrence, are complicated by increased morbidity and mortality (Tanner 1976, Sawyers and Herrington 1977). |