{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,12,31]],"date-time":"2024-12-31T23:40:02Z","timestamp":1735688402554,"version":"3.32.0"},"reference-count":8,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[1977,7,1]],"date-time":"1977-07-01T00:00:00Z","timestamp":236563200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[1977,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p><jats:bold>Fifty\u2010two operations were performed on 44 patients with recurrent disease after vagotomy and drainage (38) or vagotomy without drainage (6). The initial vagotomy was done for duodenal ulcer (23), gastric ulcer (17), and acid dyspepsia without ulcer (4). The reoperations were 31 revagotomies, 11 Billroth II gastric resections, 2 gastrojejunostomies, and later 4 gastric resections for another recurrence, 2 gastrojejunostomies for retention, and 2 operations for dumping. After an observation period of 1 to 6 years (mean 2.5 years), the results were good in 22 patients, satisfactory in 20 and unsatisfactory in 2 patients. Of 42 patients with recurrent disease, 41 showed a significant increase of acid output during insulin stimulation before operative treatment of the recurrence. Of 31 revagotomized patients, 26 were insulin\u2010test negative without later signs of recurrence. Five patients remained insulintest positive, and 4 of these required gastric resection for another recurrence. This series demonstrates the therapeutic significance of complete vagotomy, and emphasizes the value of the insulin test for evaluation of the completeness of the vagotomy<\/jats:bold>.<\/jats:p>","DOI":"10.1007\/bf01565920","type":"journal-article","created":{"date-parts":[[2005,4,27]],"date-time":"2005-04-27T17:03:31Z","timestamp":1114621411000},"page":"493-496","source":"Crossref","is-referenced-by-count":3,"title":["Operative treatment of recurrence after vagotomy and drainage for duodenal ulcer, gastric ulcer, and acid dyspepsia without ulcer"],"prefix":"10.1002","volume":"1","author":[{"given":"Jon A.","family":"Johnson","sequence":"first","affiliation":[{"name":"Department of Surgery Institute of Clinical Medicine University of Troms\u00f8 9000 Troms\u00f8 Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karl\u2010Erik","family":"Giercksky","sequence":"additional","affiliation":[{"name":"Department of Surgery Institute of Clinical Medicine University of Troms\u00f8 9000 Troms\u00f8 Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[1977,7]]},"reference":[{"key":"e_1_2_1_2_1","doi-asserted-by":"crossref","first-page":"111","DOI":"10.1002\/bjs.1800560208","article-title":"Revagotomy for recurrent ulcer after vagotomy and drainage for duodenal ulcer","volume":"62","author":"Fawcett A.N.","year":"1969","journal-title":"Br. 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