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The mean follow-up time was 4\u00b75 years with a range of 2\u20137 years. One elderly patient died from a myocardial infarction in the TVP group. Acid secretory inhibition in response to insulin and pentagastrin stimuli was equal in both groups, indicating a similar degree ofvagaldenervation. Recurrent ulcers were more common after AMPT (five) than TVP (two) (P = 0\u00b729, n.s.). Dumping and diarrhoea were significantly commoner (P &amp;lt; 0\u00b7001) after TVP, with 31 instances as opposed to eight with AMPT. The mean operating time was increased by 6 min when AMPT was performed rather than TVP. The results of this study have shown that AMPT is associated with a lower incidence of dumping and diarrhoea and achieves better overall Visick grading. However, continued monitoring is required to assess the long-term incidence of recurrent ulceration after this procedure.<\/jats:p>","DOI":"10.1002\/bjs.1800770917","type":"journal-article","created":{"date-parts":[[2007,3,3]],"date-time":"2007-03-03T14:53:42Z","timestamp":1172933622000},"page":"1007-1009","source":"Crossref","is-referenced-by-count":36,"title":["Anterior lesser curve seromyotomy and posterior truncal vagotomy <i>versus<\/i> truncal vagotomy and pyloroplasty in the treatment of chronic duodenal ulcer"],"prefix":"10.1093","volume":"77","author":[{"given":"T V","family":"Taylor","sequence":"first","affiliation":[{"name":"Manchester Royal Infirmary ,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J P","family":"Lythgoe","sequence":"additional","affiliation":[{"name":"Royal Preston Hospital ,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J B","family":"McFarland","sequence":"additional","affiliation":[{"name":"The Royal Liverpool Hospital ,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"I T","family":"Gilmore","sequence":"additional","affiliation":[{"name":"The Royal Liverpool Hospital ,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P E","family":"Thomas","sequence":"additional","affiliation":[{"name":"Manchester Royal Infirmary ,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G H","family":"Ferguson","sequence":"additional","affiliation":[{"name":"Manchester Royal Infirmary ,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[1990,9,1]]},"reference":[{"key":"2024092809103657600_bib1","volume-title":"Deaths in England and Wales","author":"Office of Population Censuses and Surveys","year":"1984"},{"key":"2024092809103657600_bib2","doi-asserted-by":"crossref","first-page":"944","DOI":"10.1002\/bjs.1800601208","article-title":"Selective or truncal vagotomy? 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