{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,4]],"date-time":"2025-10-04T01:40:38Z","timestamp":1759542038987},"reference-count":37,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[1982,1,1]],"date-time":"1982-01-01T00:00:00Z","timestamp":378691200000},"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":[[1982,1,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>From 1970 to 1974 proximal gastric vagotomy without drainage was performed in 158 patients for duodenal ulcer. One patient died, giving an operative mortality of 0\u00b76 per cent. Nine unrelated deaths occurred during the period of survey and 5 other patients were lost to follow-up. The remaining 143 patients were followed-up for a minimum of 5 years and a maximum of 9 years.<\/jats:p>\n               <jats:p>The most frequent symptoms were epigastric fullness and intolerance to milk. Early dumping, detected in 6\u00b77 per cent of the patients, was always mild. Diarrhoea, also very slight and often only related to the ingestion of milk, was seen in 9\u00b76 per cent. Recurrent duodenal ulcer was proved in 7\u00b77 per cent and strongly suspected in 0\u00b77 per cent and the presence of a new gastric ulcer was also proved in 1\u00b74 per cent of patients, making a total incidence of recurrence of 9\u00b78 per cent. Approximately 89 per cent of the patients were classed as having a satisfactory result and 11 per cent were classed as unsatisfactory.<\/jats:p>\n               <jats:p>Proximal gastric vagotomy is clearly effective in reducing the side-effects of gastric surgery, while the incidence of recurrent ulceration in the long term is similar to the incidence of recurrence after truncal or selective vagotomy with a drainage procedure. For these reasons, consideration should be given to the wider use of proximal gastric vagotomy in the elective surgical treatment of duodenal ulcer.<\/jats:p>","DOI":"10.1002\/bjs.1800690104","type":"journal-article","created":{"date-parts":[[2007,3,2]],"date-time":"2007-03-02T21:14:18Z","timestamp":1172870058000},"page":"7-10","source":"Crossref","is-referenced-by-count":16,"title":["Late results of proximal gastric vagotomy without drainage for duodenal ulcer: 5\u20139-year follow-up"],"prefix":"10.1093","volume":"69","author":[{"given":"Jacinto","family":"De Miguel","sequence":"first","affiliation":[{"name":"Department of Surgery, National Health Service and Virgen de la Salud Clinic , Valladolid,","place":["Spain"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[1982,1,1]]},"reference":[{"key":"2024092713090135700_bib1","doi-asserted-by":"crossref","first-page":"525","DOI":"10.1007\/BF01563693","article-title":"Follow-up of 100 patients five to eight years after parietal cell vagotomy","volume":"2","author":"Jensen","year":"1978","journal-title":"World J. 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An interim report on primary results and incidence of sequelae following parietal cell vagotomy and selective gastric vagotomy in 748 patients","volume":"2","author":"Amdrup","year":"1978","journal-title":"World J. Surg."},{"key":"2024092713090135700_bib24","doi-asserted-by":"crossref","first-page":"788","DOI":"10.1136\/bmj.3.5830.788","article-title":"Vagotomy without diarrhoea","volume":"3","author":"Johnston","year":"1972","journal-title":"Br. Med. J."},{"key":"2024092713090135700_bib25","doi-asserted-by":"crossref","first-page":"301","DOI":"10.1136\/bmj.2.5966.301","article-title":"Proximal gastric vagotomy: interim results of a randomized controlled trial","volume":"2","author":"Kennedy","year":"1975","journal-title":"Br. Med. 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