[Is selective proximal vagotomy expedient in the treatment of bleeding duodenal ulcers?].
The article analyses the results of truncal and selective proximal vagotomy with gastric draining operations in 101 patients with bleeding duodenal ulcer. The patients' condition, the results of special methods of examination, and the morphological changes in the gastric mucosa were studied. It was found that selective proximal vagotomy with drainage of the stomach had no advantages over truncal vagotomy. Besides, being a technically more difficult operation than truncal vagotomy, it fails to meet the requirements of emergency surgery and its application in patients with a bleeding duodenal ulcer isnot expedient.
Postolov
P M
PM
Poliantsev
A A
AA
Pisarev
V B
VB
Kuvshinov
D A
DA
D000075202:Contraindications; D004381:Duodenal Ulcer / Q000150:complications / Q000503:physiopathology / Q000601:surgery*; D005744:Gastric Acid / Q000378:metabolism; D005753:Gastric Mucosa / Q000378:metabolism; D006801:Humans; D010438:Peptic Ulcer Hemorrhage / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D011706:Pyloric Antrum / Q000601:surgery; D014629:Vagotomy, Proximal Gastric / Q000379:methods*; D015167:Vagotomy, Truncal / Q000379:methods*
Tselesoobrazna li selektivnaia proksimal'naia vagotomiia v lechenii krovotochashcheĭ iazvy dvenadtsatiperstnoĭ kishki?