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|Title:||Pyloric channel ulcers: Management and three-year follow-up|
|Source:||Tekant, Y., Goh, P., Low, C., Ngoi, S.S. (1995). Pyloric channel ulcers: Management and three-year follow-up. American Surgeon 61 (3) : 237-239. ScholarBank@NUS Repository.|
|Abstract:||Twenty-five patients with pyloric channel ulcers are presented. They were predominantly males (84%), with a mean age of 54 years. Four patients were operated upon in the initial admission because of gastric outlet obstruction in three and persistent bleeding in one. Twenty-one patients received H2- antagonist treatment (ranitidine 150 mg or cimetidine 400 mg twice a day). Clinical and endoscopic healing rates were 76% and 38% respectively at 6 weeks, and 91% and 85% respectively at 12 weeks of treatment. The recurrence rate at an average of 3 years of follow-up period on maintenance treatment (ranitidine 150 mg or cimetidine 400 mg nightly) was 65%. Three patients were operated upon during the follow-up period due to persistent symptoms in two and recurrence with obstruction in one. Surgical procedures were vagotomy + drainage (five patients) and vagotomy + antrectomy (two patients). There were no recurrences in surgically treated patients at an average of 3.5 years of follow-up, and all were graded as Visick I or II.|
|Source Title:||American Surgeon|
|Appears in Collections:||Staff Publications|
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