title: [Current ulcer surgery from the internist's view point: vagotomy versus resection].
abstract: The internist is usually not concerned with the successfully operated ulcer patient now free of symptoms, but primarily with the sequels which follow the surgical intervention more or less immediately or many years later. In the resecting procedures these are stomal ulcer and dumping, weight loss, osteoporosis, iron deficiency anemia and stump carcinoma, in vagotomy ulcer recurrency, diarrhea, dumping symptomatology and an increased incidence of cholelithiasis. Of the currently practiced procedures parietal cell vagotomy seems to offer the best results in duodenal ulcer patients although long-term follow-up examinations are not yet available.
mesh_terms: D000747:Anemia, Hypochromic / Q000209:etiology; D002769:Cholelithiasis / Q000209:etiology; D003967:Diarrhea / Q000209:etiology; D005743:Gastrectomy / Q000379:methods*; D005756:Gastritis / Q000209:etiology; D005860:Germany, West; D006801:Humans; D010437:Peptic Ulcer / Q000601:surgery*; D011178:Postgastrectomy Syndromes / Q000453:epidemiology; D012008:Recurrence; D013274:Stomach Neoplasms / Q000209:etiology; D013997:Time Factors; D014628:Vagotomy / Q000379:methods*
vernacular_title: Moderne Ulkuschirurgie aus der Sicht des Internisten: Vagotomie versus Resektion.