[Proximal selective vagotomy with or without pyloroplasty?].
Proximal gastric vagotomy without drainage is the operation of choice for uncomplicated duodenal ulcer. There are few contraindications for PGV as uremia, diabetes, hypertension, age over 65 years and a history of splenectomy. Only in cases of severe pyloric stenosis or bleeding ulcer or perforation in the pyloric area, a pyloroplasty should be added. The Wangensteen pyloroplasty is a safe drainage procedure and especially recommended in case of extensive scarring of the pylorus.
D004322:Drainage; D004381:Duodenal Ulcer / Q000628:therapy*; D006801:Humans; D008722:Methods; D010438:Peptic Ulcer Hemorrhage / Q000628:therapy; D010439:Peptic Ulcer Perforation / Q000628:therapy; D011707:Pyloric Stenosis / Q000628:therapy; D011708:Pylorus / Q000601:surgery*; D014628:Vagotomy / Q000379:methods*
Proximal-selektive Vagotomie mit oder ohne Pyloroplastik?