1977
DOI: 10.1007/bf01654722
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Parietal cell (highly selective or proximal gastric) vagotomy for peptic ulcer disease

Abstract: Parietal cell vagotomy has been in clinical use for 7 years in elective treatment of nonobstructive duodenal ulcer, and for even a shorter period for complicated cases and for gastric ulcer The evolution of the surgical technique has not yet come to an end and the ability to perform the procedure is still improving. It can therefore be questioned, if this operation is yet ripe for a realistic clinical trial, and the great variation in recurrence rate reported in pilot series as well as in prospective randomize… Show more

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Cited by 47 publications
(15 citation statements)
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References 38 publications
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“…Die Ursachen ffir eine Relaparotomie waren neben den erw~ihnten Rezidivblutungen intraabdominelle Nachblutungen sowie postoperative Peritonitiden. Erw~ihnenswert ist, daB bei 2 Patienten nach SPV eine Nekrose der kleinen Kurvatur auftrat, wie sie auch von anderen Autoren berichtet wird [1,12].…”
Section: Letalitiitunclassified
See 1 more Smart Citation
“…Die Ursachen ffir eine Relaparotomie waren neben den erw~ihnten Rezidivblutungen intraabdominelle Nachblutungen sowie postoperative Peritonitiden. Erw~ihnenswert ist, daB bei 2 Patienten nach SPV eine Nekrose der kleinen Kurvatur auftrat, wie sie auch von anderen Autoren berichtet wird [1,12].…”
Section: Letalitiitunclassified
“…Es stehen sich im wesentlichen die Resektion und die Vagotomie mit Ulcusumstechung gegenfiber. Da die selektiv-proximale Vagotomie (SPV) beim unkomplizierten Duodenalulcus der Resektion iiberlegen zu sein scheint [1,10,12,14], lag es nahe, die SPV auch beim blutenden Duodenalulcus anzuwenden [1,2,7,10,[12][13][14]. Da prospektive, randomisierte Studien der konkurrierenden Operationsverfahren beim blutenden Gastroduodenalulcus -Resektion im Vergleich zur SPV -fehlen, ist eine retrospektive Analyse eines gr6Beren Krankengutes yon Interesse.…”
unclassified
“…This study concludes that combining pyloroplasty with vagotomy has no appreciable advantages. Amdrup, Andersen and Jensen (1977), who have done much to pioneer highly selective vagotomy in Denmark, point out that the operation has only been in general clinical use some 7 years, techniques are still improving, and that it will be several years before the long-term results of the operation, particularly with respect to recurrence, can be assessed.…”
Section: Duodenal Ulcerationmentioning
confidence: 99%
“…Treatment of juxtapyloric ulcer should include pyloric reconstruction or bypass: When the ulcer is either obstructing, juxtapyloric in location, or associated with abnormalities of the gastric outlet, HSV should be performed with a drainage procedure [1][2][3][4][5][6]. Treatment of juxtapyloric ulcer should include pyloric reconstruction or bypass: When the ulcer is either obstructing, juxtapyloric in location, or associated with abnormalities of the gastric outlet, HSV should be performed with a drainage procedure [1][2][3][4][5][6].…”
mentioning
confidence: 99%