title: [Non-resecting surgery for gastroduodenal ulcer. III. Clinical results (author's transl)].
abstract: During the last 12 years, 1489 vagotomies were performed at the Chirurgische Poliklinik of Munich University; 1339 of them were selective proximal vagotomies (SPV). The main indication was duodenal ulcer (n = 915) and gastric ulcer (n = 188), including emergency operations for extensive bleeding. Further indications were: sliding hiatal hernia, erosive gastritis and achalasia of the cardia. The SPA was combined in all cases with a pyloroplasty based on form and function. The results are shown in detail related to mortality (elective 0.5%), recurrency (1.6%) and functional results (good 88.2%, fair 7.2%, poor 4.6%). The combined operation of SPV with pyloroplasty is, in our opinion, an operative procedure which allows non resectioning surgical treatment of GDU without selection, i.e. based on form and function.
mesh_terms: D000208:Acute Disease; D004322:Drainage; D004381:Duodenal Ulcer / Q000601:surgery*; D005756:Gastritis / Q000601:surgery; D006551:Hernia, Hiatal / Q000601:surgery; D006801:Humans; D010438:Peptic Ulcer Hemorrhage / Q000601:surgery; D011708:Pylorus / Q000601:surgery; D012008:Recurrence; D012189:Retrospective Studies; D013276:Stomach Ulcer / Q000601:surgery*; D014628:Vagotomy / Q000379:methods / Q000401:mortality
vernacular_title: Die nicht-resezierende Chirurgie des Gastro-Duodenal-Ulkus. III. Klinische Resultate