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[Selective proximal vagotomy with and without pyloroplasty in uncomplicated chronic duodenal ulcer. Results of a randomized clinical study 5 and 10 years following surgery].
Zentralbl Chir. 1992; 117(1):36-40.ZC

Abstract

SPV with and without pyloroplasty were compared in a randomized clinical study for uncomplicated chronic duodenal ulcer. Additional pyloroplasty according to Finney reduced recurrence rate nor after 5 years (7.9:7.9%) neither after 10 years (16.7:12.5%) in comparison to SPV without pyloroplasty. Functional postvagotomy-syndromes dumping and diarrhoea, which were increased until 5th postoperative year after SPV with pyloroplasty, decreased in both groups to a lower level. Cause of late recurrences and decrease of postvagotomy-syndromes was seen in the vegetative reinnervation of stomach. There was no decrease in the lactase-deficiency-syndrome after SPV. Clinical results did not reveal any significant differences between both groups. It was suggested, that SPV without pyloroplasty is the best adequate operation for uncomplicated chronic duodenal ulcer.

Authors+Show Affiliations

Chirurgische Klinik, Städtischen Kliniken Dortmund.No affiliation info available

Pub Type(s)

Clinical Trial
English Abstract
Journal Article
Randomized Controlled Trial

Language

ger

PubMed ID

1546498

Citation

Hildebrandt, J, and U Herrmann. "[Selective Proximal Vagotomy With and Without Pyloroplasty in Uncomplicated Chronic Duodenal Ulcer. Results of a Randomized Clinical Study 5 and 10 Years Following Surgery]." Zentralblatt Fur Chirurgie, vol. 117, no. 1, 1992, pp. 36-40.
Hildebrandt J, Herrmann U. [Selective proximal vagotomy with and without pyloroplasty in uncomplicated chronic duodenal ulcer. Results of a randomized clinical study 5 and 10 years following surgery]. Zentralbl Chir. 1992;117(1):36-40.
Hildebrandt, J., & Herrmann, U. (1992). [Selective proximal vagotomy with and without pyloroplasty in uncomplicated chronic duodenal ulcer. Results of a randomized clinical study 5 and 10 years following surgery]. Zentralblatt Fur Chirurgie, 117(1), 36-40.
Hildebrandt J, Herrmann U. [Selective Proximal Vagotomy With and Without Pyloroplasty in Uncomplicated Chronic Duodenal Ulcer. Results of a Randomized Clinical Study 5 and 10 Years Following Surgery]. Zentralbl Chir. 1992;117(1):36-40. PubMed PMID: 1546498.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Selective proximal vagotomy with and without pyloroplasty in uncomplicated chronic duodenal ulcer. Results of a randomized clinical study 5 and 10 years following surgery]. AU - Hildebrandt,J, AU - Herrmann,U, PY - 1992/1/1/pubmed PY - 1992/1/1/medline PY - 1992/1/1/entrez SP - 36 EP - 40 JF - Zentralblatt fur Chirurgie JO - Zentralbl Chir VL - 117 IS - 1 N2 - SPV with and without pyloroplasty were compared in a randomized clinical study for uncomplicated chronic duodenal ulcer. Additional pyloroplasty according to Finney reduced recurrence rate nor after 5 years (7.9:7.9%) neither after 10 years (16.7:12.5%) in comparison to SPV without pyloroplasty. Functional postvagotomy-syndromes dumping and diarrhoea, which were increased until 5th postoperative year after SPV with pyloroplasty, decreased in both groups to a lower level. Cause of late recurrences and decrease of postvagotomy-syndromes was seen in the vegetative reinnervation of stomach. There was no decrease in the lactase-deficiency-syndrome after SPV. Clinical results did not reveal any significant differences between both groups. It was suggested, that SPV without pyloroplasty is the best adequate operation for uncomplicated chronic duodenal ulcer. SN - 0044-409X UR - https://www.unboundmedicine.com/medline/citation/1546498/[Selective_proximal_vagotomy_with_and_without_pyloroplasty_in_uncomplicated_chronic_duodenal_ulcer__Results_of_a_randomized_clinical_study_5_and_10_years_following_surgery]_ DB - PRIME DP - Unbound Medicine ER -