[The proximal gastric vagotomy in the treatment of uncomplicated duodenal ulcer (author's transl)].
Of 97 patients, who had a PGV since July 1971, 86 were checked intraoperatively on completeness of vagotomy with various methods, including Kongo-red-staining, pH-electrode and Burge-test. On theoretical grounds, the Burge-test combined with pH-measurement seems the most reliable procedure. In 14 cases an incomplete Vagotomy could such be avoided. 72 patients, who met the critiria of more than 6 months follow-up, were graded according to VISICK with 89% good results (I, II) and 11% VISICK III, IV. Two Patients needed reoperation, one with recurrent ulcer. Our results confirm the good impression we had initially, regarding the low postoperative morbidity, effective reduction of acidity and recurrence rate, but longterm follow-up studies are still required to form a final judgement.
D004322:Drainage; D004381:Duodenal Ulcer / Q000601:surgery*; D005755:Gastrins / Q000378:metabolism; D006801:Humans; D006863:Hydrogen-Ion Concentration; D008365:Manometry; D011183:Postoperative Complications / Q000378:metabolism / Q000503:physiopathology / Q000601:surgery; D013997:Time Factors; D014628:Vagotomy / Q000379:methods*
D005755:Gastrins
Die proximal gastrische Vagotomie beim Ulcus duodeni.