[Selective proximal vagotomy with and without pyloroplasty in uncomplicated chronic duodenal ulcer. Results of a randomized clinical study 5 and 10 years following surgery].
SPV with and without pyloroplasty were compared in a randomized clinical study for uncomplicated chronic duodenal ulcer. Additional pyloroplasty according to Finney reduced recurrence rate nor after 5 years (7.9:7.9%) neither after 10 years (16.7:12.5%) in comparison to SPV without pyloroplasty. Functional postvagotomy-syndromes dumping and diarrhoea, which were increased until 5th postoperative year after SPV with pyloroplasty, decreased in both groups to a lower level. Cause of late recurrences and decrease of postvagotomy-syndromes was seen in the vegetative reinnervation of stomach. There was no decrease in the lactase-deficiency-syndrome after SPV. Clinical results did not reveal any significant differences between both groups. It was suggested, that SPV without pyloroplasty is the best adequate operation for uncomplicated chronic duodenal ulcer.
Hildebrandt
J
J
Chirurgische Klinik, Städtischen Kliniken Dortmund.
Herrmann
U
U
D000368:Aged; D003967:Diarrhea / Q000209:etiology; D004377:Dumping Syndrome / Q000209:etiology; D004381:Duodenal Ulcer / Q000601:surgery*; D006801:Humans; D008875:Middle Aged; D011446:Prospective Studies; D011706:Pyloric Antrum / Q000601:surgery*; D012008:Recurrence; D013514:Surgical Procedures, Operative / Q000379:methods; D014629:Vagotomy, Proximal Gastric / Q000009:adverse effects
Die selektiv proximale Vagotomie mit und ohne Pyloroplastik beim unkomplizierten chronischen Ulcus duodeni. Ergebnisse einer randomisierten klinischen Studie 5 und 10 Jahre nach der Operation.