[The pathophysiological basis of vagotomy in perforated duodenal ulcers].
Fractional intubation, intragastric pH-metry and other methods were used in complex examination of 107 patients who had perforated duodenal ulcers. The influence of surgical vagotomy upon the state of tissue blood flow was determined by means of polarography with a medicamentous vagotomy test. The medicamentous denervation was found to result in decreased blood supply of the acid-producing area and increased blood filling of the duodenum mucose. A conclusion is made that performing vagotomy is expedient after suturing the ulcer defect in patients having no diffuse purulent peritonitis.
Potashov
L V
LV
Morozov
V P
VP
Did-Zurabova
E S
ES
Savranskiĭ
V M
VM
Kudrevatykh
I P
IP
Arutiunian
A A
AA
Boriskova
M E
ME
D000328:Adult; D002908:Chronic Disease; D004381:Duodenal Ulcer / Q000150:complications / Q000503:physiopathology* / Q000601:surgery; D004386:Duodenum / Q000098:blood supply; D005260:Female; D005745:Gastric Acidity Determination; D005753:Gastric Mucosa / Q000098:blood supply; D006801:Humans; D006863:Hydrogen-Ion Concentration; D007413:Intestinal Mucosa / Q000098:blood supply; D008297:Male; D010439:Peptic Ulcer Perforation / Q000503:physiopathology* / Q000601:surgery; D011379:Prognosis; D012039:Regional Blood Flow; D014628:Vagotomy
Patofiziologicheskoe obosnovanie vagotomii pri perforativnykh duodenal'nykh iazvakh.