Extended parietal cell vagotomy in the treatment of perforation, hemorrhage, and stenosis due to duodenal ulcer

Ninety-five patients with perforation, haemorrhage, and stenosis due to duodenal ulcer were treated by extended parietal cell vagotomy (EP-CV). Eighty-eight (92%) (acute perforation 60 patients, haemorrhage 8 and stenosis 20) of them were followed up for 3.5 to 10 years (average 6 years). There was no operative death except for 2 documented recurrent ulcers (2.3%) and 1 recurrent stenosis. Of the 88 patients, 67 (76.3%) belonged to class I, 13 (14.7%) class II, 4 (4.5%) class III, and 4 (4.5%) class IV according to visick system. We believe that EPCV is effective in the treatment of perforation, haemorrhage, and stenosis of duodenal ulcer.