{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,4]],"date-time":"2025-10-04T01:43:00Z","timestamp":1759542180081},"reference-count":16,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[1980,1,1]],"date-time":"1980-01-01T00:00:00Z","timestamp":315532800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[1980,1,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>The aim of this study was to assess the clinical results after highly selective vagotomy (HSV) when used routinely at a district general hospital. A total of 229 patients with chronic duodenal or prepyloric ulcers was included in a 92 per cent complete follow-up 1\u20136 years after an elective HSV without drainage. There was no postoperative mortality, and the frequency of postoperative complications was low. Transient dysphagia and early fullness each occurred in about a quarter of the patients, whereas persistent dumping was found only in 1\u00b73 per cent and diarrhoea in 2\u00b72 per cent of the patients. Recurrent ulcer was diagnosed in 12\u00b77 per cent of the patients, but this figure decreased to 9\u00b73 per cent after exclusion of one of the 24 surgeons involved. The overall clinical results according to the modified Visick classification were recorded as excellent or very good in 70 per cent and unsatisfactory in 20 per cent. The failures were almost exclusively due to a proved or suspected recurrence or to gastric retention, and further operations have been performed on 27 of these patients. After reoperation only 8 patients (3\u00b75 per cent) remained failures according to the patient's own judgement at the time of follow-up.<\/jats:p>\n               <jats:p>The recurrence rate in this study was considered disquietingly high with regard to the short observation time. However, other obvious advantages of the method and the possibility of improved results after adjustment of the surgical technique were considered to justify continued use of HSV as a routine procedure.<\/jats:p>","DOI":"10.1002\/bjs.1800670109","type":"journal-article","created":{"date-parts":[[2007,3,2]],"date-time":"2007-03-02T18:24:51Z","timestamp":1172859891000},"page":"29-32","source":"Crossref","is-referenced-by-count":15,"title":["Clinical results of 229 patients with duodenal ulcer 1\u20136 years after highly selective vagotomy"],"prefix":"10.1093","volume":"67","author":[{"given":"H O","family":"Adami","sequence":"first","affiliation":[{"name":"Department of Surgery, University Hospital , Uppsala"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L K","family":"Enander","sequence":"additional","affiliation":[{"name":"Department of Surgery, University Hospital , Uppsala"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C","family":"Ingvar","sequence":"additional","affiliation":[{"name":"Department of Surgery, Central Hospital , Karlstad, Uppsala"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"B","family":"Rydberg","sequence":"additional","affiliation":[{"name":"Department of Surgery, Central Hospital , Karlstad, Uppsala"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[1980,1,1]]},"reference":[{"key":"2024092709423262300_bib1","doi-asserted-by":"crossref","first-page":"545","DOI":"10.1136\/bmj.4.5996.545","article-title":"Operative mortality and postoperative morbidity of highly selective vagotomy","volume":"4","author":"Johnston","year":"1975","journal-title":"Br. Med. J."},{"key":"2024092709423262300_bib2","doi-asserted-by":"crossref","first-page":"279","DOI":"10.1097\/00000658-197409000-00004","article-title":"Clinical results of parietal cell vagotomy (highly selective vagotomy) two to four years after operation","volume":"180","author":"Amdrup","year":"1974","journal-title":"Ann. Surg."},{"key":"2024092709423262300_bib3","doi-asserted-by":"crossref","first-page":"268","DOI":"10.1136\/gut.16.4.268","article-title":"A controlled, randomized trial of highly selective vagotomy versus selective vagotomy and pyloroplasty in the treatment of duodenal ulcer","volume":"16","author":"Kronborg","year":"1975","journal-title":"Gut"},{"key":"2024092709423262300_bib4","doi-asserted-by":"crossref","first-page":"145","DOI":"10.1002\/bjs.1800650302","article-title":"Proximal gastric vagotomy without drainage for duodenal ulcer: results after 5\u20138 years","volume":"65","author":"Goligher","year":"1978","journal-title":"Br. J. Surg."},{"key":"2024092709423262300_bib5","article-title":"Selective proximal vagotomy in the treatment of gastroduodenal ulcers","volume":"8","author":"Liav\u00e5g","year":"1973","journal-title":"Scand. J. Gastroenterol."},{"key":"2024092709423262300_bib6","first-page":"73","volume-title":"Current Surgical Practice","author":"Johnston","year":"1976"},{"key":"2024092709423262300_bib7","doi-asserted-by":"crossref","first-page":"619","DOI":"10.1097\/00000658-197606000-00002","article-title":"A prospective study of parietal cell vagotomy and selective vagotomy\u2013antrectomy for treatment of duodenal ulcer","volume":"183","author":"Jordan","year":"1976","journal-title":"Ann. Surg."},{"key":"2024092709423262300_bib8","first-page":"457","article-title":"Clinical results and recurrences 1\u20134 years after parietal cell vagotomy in duodenal ulcer patients","volume":"143","author":"Adami","year":"1977","journal-title":"Acta Chir. Scand."},{"key":"2024092709423262300_bib9","doi-asserted-by":"crossref","first-page":"337","DOI":"10.1002\/bjs.1800610502","article-title":"A technique for highly selective (parietal cell or proximal gastric) vagotomy for duodenal ulcer","volume":"61","author":"Goligher","year":"1974","journal-title":"Br. J. Surg."},{"key":"2024092709423262300_bib10","first-page":"205","article-title":"Experiences of selective proximal vagotomy\u2014SPV\u2014400 cases of uncomplicated and complicated ulcers during 6 years","volume":"9","author":"Hedenstedt","year":"1975","journal-title":"Chir. Gastroent."},{"key":"2024092709423262300_bib11","doi-asserted-by":"crossref","first-page":"781","DOI":"10.1136\/bmj.2.5608.781","article-title":"Five- to eight-year results of Leeds\/York controlled trial of elective surgery for duodenal ulcer","volume":"2","author":"Goligher","year":"1968","journal-title":"Br. Med. J."},{"key":"2024092709423262300_bib12","doi-asserted-by":"crossref","first-page":"28","DOI":"10.1136\/bmj.1.5791.28","article-title":"Selective proximal vagotomy with and without pyloroplasty","volume":"1","author":"Wastell","year":"1972","journal-title":"Br. Med. J."},{"key":"2024092709423262300_bib13","doi-asserted-by":"crossref","first-page":"427","DOI":"10.1016\/S0300-5089(21)00039-0","article-title":"The long-term results of peptic ulcer surgery","volume":"2","author":"Small","year":"1973","journal-title":"Clin. 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