Reaction to D-penicillamine in rheumatoid arthritis.
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Biomedical subjects
Publications and source records attributed to D Hollanders.
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Between 1957 and 1969 700 patients with duodenal ulceration were treated by selective vagotomy and simple drainage using the electrical stimulation test to achieve complete nerve section. Ten of these patients have been re-admitted to the hospital with further ulceration, one with a lesser curve gastric ulcer and nine with recurrent duodenal disease. The first patient had gastric retention and has apparently been cured by gastrojejunostomy to improve antral drainage. The remaining nine cases were found to have incomplete nerve section, and, of these, seven have been treated and apparently cured by completion of the incomplete vagotomy, again using the electrical stimulation test.
The results of surgical treatment for duodenal ulcer were compared in two groups of patients-51 who had undergone selective vagotomy without drainage and 17 who had had selective vagotomy and pyloroplasty. It is suggested that in the absence of organic pyloric or duodenal stenosis the former method seems both preferable and desirable, since postoperativley dumping does not occur and there is a steady improvement in gastric emptying.