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Systematic follow-up: A concept for evaluation of operative results in duodenal ulcer patients

Klinische Wochenschrift, ISSN: 0023-2173, Vol: 55, Issue: 19, Page: 925-932
1977
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Review Description

For patients with chronic duodenal ulcer a systematic follow-up concept has been developed in several medical centers. Defined attributes and parameters are assessed in each of the patients before, and at several intervals after, operation. The necessity of such a follow-up can be defended on several grounds and by its organisational structure it can be differentiated from a simple and irregular medical check-up after operation. It provides a more rational basis for treating a patient than the "experience" made up by impressions. The question of logistics in such a gastric follow-up contains many subquestions which may be answered differently in different locations but have still to be tested by controlled clinical trials. All these considerations however have the common aim to assess clinical data more reliably and with less personal bias than before. A concept for the evaluation of operative results in duodenal ulcer patients as has been started in Marburg is presented. Findings are obtained by a series of standardized interviews and examinations. Diagnoses, indications for operation and results of operation are established by a final decision made by a panel. A role for a theoretical surgeon in the follow-up is proposed. The possibility of performing a gastric follow-up is advocated both for University and district hospitals. © 1977 Springer-Verlag.

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