title: [Recurrent gastroduodenal ulcer: controversies in primary and secondary interventions].
abstract: Today controversial points of view in ulcer surgery are related to operative tactics. In principal resective and non-resective procedures and the type of anastomosis are discussed. Physiopathological criteria for decision are the effects on acid reduction, motility, intestinal acid exposure and entero-gastric reflux. Therapeutic security and the frequency of side effects are determined by these parameters. Postpyloric ulcer remains the domain of vagotomy. Gastric ulcers should be resected or treated by a combined procedure. In reconstructing the gastrointestinal tract the dualism of residual acid and postresectional reflux must be taken into account.
authors.affiliation: Abteilung Chirurgie, Medizinischen Fakultät der RWTH Aachen.
authors.forename: V
authors.initials: V
authors.lastname: Schumpelick
authors.forename: G
authors.initials: G
authors.lastname: Arlt
authors.forename: G
authors.initials: G
authors.lastname: Winkeltau
authors.forename: U
authors.initials: U
authors.lastname: Klinge
mesh_terms: D000714:Anastomosis, Surgical; D005743:Gastrectomy; D006801:Humans; D010437:Peptic Ulcer / Q000601:surgery*; D011183:Postoperative Complications / Q000209:etiology / Q000601:surgery*; D012008:Recurrence; D012086:Reoperation; D014629:Vagotomy, Proximal Gastric
vernacular_title: Gastroduodenales Rezidivulcus: Kontroversen bei Primär- und Sekundäreingriffen.