{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,20]],"date-time":"2026-02-20T23:36:06Z","timestamp":1771630566140,"version":"3.50.1"},"reference-count":12,"publisher":"Oxford University Press (OUP)","issue":"8","license":[{"start":{"date-parts":[[1983,8,1]],"date-time":"1983-08-01T00:00:00Z","timestamp":428544000000},"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":[[1983,8,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>In a prospective randomized trial highly selective vagotomy (HSV) was compared with truncal vagotomy and pyloroplasty (TVP). One surgeon performed all the operations. Ninety-eight per cent of patients were reviewed by two physicians after 20\u201397 mth (mean 61 mth). Fifty-nine of 68 patients (87 per cent) had an excellent or very good result after HSV (Visick grades I and II) compared with 48 of 69 (70 per cent) after TVP (P &amp;lt; 0\u00b705). There was 1 proven recurrence after HSV and 4 after TVP. Diarrhoea, including mild symptoms, occurred in 5 patients (7 per cent) after HSV and in 27 (39 per cent) after TVP (P &amp;lt; 0\u00b7001). Severe diarrhoea did not occur after HSV but was present in 4 patients (6 per cent) after TVP (P &amp;lt; 0\u00b7001). Flatulence, epigastric fullness and weight loss were also significantly more common after TVP. On average HSV took 72 min to perform compared with 44 min for TVP (P &amp;lt; 0\u00b7001). Transient dysphagia occurred in 19 patients after HSV compared with 8 after TVP (P &amp;lt; 0\u00b705). HSV gave better results than TVP and was associated with a low recurrence rate (1\u00b75 per cent at a mean of 5 yr). Although technically more demanding, HSV in our hands is a better operation than TVP for uncomplicated duodenal ulcer.<\/jats:p>","DOI":"10.1002\/bjs.1800700811","type":"journal-article","created":{"date-parts":[[2007,3,2]],"date-time":"2007-03-02T23:45:45Z","timestamp":1172879145000},"page":"485-488","source":"Crossref","is-referenced-by-count":27,"title":["A comparison of highly selective vagotomy with truncal vagotomy and pyloroplasty\u2014one surgeon's results after 5 years"],"prefix":"10.1093","volume":"70","author":[{"given":"A G","family":"Fraser","sequence":"first","affiliation":[{"name":"Aberdeen General Hospitals"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P W","family":"Brunt","sequence":"additional","affiliation":[{"name":"Aberdeen General Hospitals"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"N A","family":"Matheson","sequence":"additional","affiliation":[{"name":"Aberdeen General Hospitals"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[1983,8,1]]},"reference":[{"key":"2024092715271960300_bib1","doi-asserted-by":"crossref","first-page":"289","DOI":"10.1002\/bjs.1800570414","article-title":"Highly selective vagotomy without a drainage procedure in the treatment of duodenal ulcer","volume":"57","author":"Johnston","year":"1970","journal-title":"Br. 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Surg."},{"key":"2024092715271960300_bib8","doi-asserted-by":"crossref","first-page":"702","DOI":"10.1136\/gut.22.9.702","article-title":"Proximal gastric vagotomy after five years","volume":"22","author":"Storey","year":"1981","journal-title":"Gut"},{"key":"2024092715271960300_bib9","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1136\/bmj.1.5791.7","article-title":"Five-to-eight year results of truncal vagotomy and pyloroplasty for duodenal ulcer","volume":"1","author":"Goligher","year":"1972","journal-title":"Br. Med. J."},{"key":"2024092715271960300_bib10","first-page":"845","article-title":"An evaluation of highly selective vagotomy in the treatment of chronic duodenal ulcer","volume":"150","author":"Dunn","year":"1980","journal-title":"Surg. Gynecol. 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