[Critical position on indications for selective proximal vagotomy without drainage].
In 128 patients with chronic duodenal ulcer the selective proximal vagotomy without drainage was carried out in a prospective study. Intraoperatively the test for completeness of the vagotomy was performed by means of the dye test in 50%. Postoperatively no lethal complications were to be seen, only three bronchopneumonias and one wound rupture. The late results after one year showed 77.5% Visick II, 10% Visick III and 12.5% Visick IV. After a successless conservative treatment of the 16 patients with recidivation in 10 patients the second operation had to be performed. In 6 of 10 patients pylorus stenoses were found in the operation preparation. The selective proximal drainage is an unsuitable method for pre- and intrapyloric ulcers. The intraoperative application of dye tests had no influence on the rate of recidivations.
D000328:Adult; D003131:Combined Modality Therapy; D004322:Drainage; D004381:Duodenal Ulcer / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D012008:Recurrence; D012086:Reoperation; D014628:Vagotomy; D014629:Vagotomy, Proximal Gastric
Kritische Stellungnahme zur Indikation der selektiven proximalen Vagotomie ohne Drainage.