Vagotomy and Pyloroplasty

1. Front Matter

   Pages I-XIII

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2. Introduction

   1. Front Matter

      Pages 1-1

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   2. Mechanical Versus Functional Surgery

      • Fritz Holle, Gertrud Elisabeth Holle

      Pages 3-3

   3. The Beginning of Functional Surgery for Peptic Ulcer

      • Fritz Holle, Gertrud Elisabeth Holle

      Pages 4-5

   4. Early Observations on a Functional Method of Surgical Treatment for Peptic Ulcer

      • Fritz Holle, Gertrud Elisabeth Holle

      Pages 6-7

   5. Establishment of Theoretical Model of a Non-resective Method

      • Fritz Holle, Gertrud Elisabeth Holle

      Pages 8-9

3. Patho-physiological Background

   1. Front Matter

      Pages 11-11

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   2. Definition and Efficiency of the Model

      • Fritz Holle, Gertrud Elisabeth Holle

      Pages 13-14

   3. Effects of the Model

      • Fritz Holle, Gertrud Elisabeth Holle

      Pages 15-30

4. Prerequisites and Technique of Adequate SPV (= a-SPV)

   1. Front Matter

      Pages 31-31

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   2. Prerequisites for an a-SPV

      • Fritz Holle, Gertrud Elisabeth Holle

      Pages 33-39

   3. Functional Considerations Regarding Indication and Choice of Procedure

      • Fritz Holle, Gertrud Elisabeth Holle

      Pages 40-50

   4. Standard Technique of Adequate SPV (a-SPV)

      • Fritz Holle, Gertrud Elisabeth Holle

      Pages 51-56

5. The Why? and How? of Drainage within the Non-resective Method

   1. Front Matter

      Pages 57-57

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   2. The Deficiencies of a-SPV

      • Fritz Holle, Gertrud Elisabeth Holle

      Pages 59-65

   3. The Importance of the Antro-pyloric Canal

      • Fritz Holle, Gertrud Elisabeth Holle

      Pages 66-73

   4. Functional Measurement of the Motility of the Stomach as a Whole (Especially Functional Scintigraphy)

      • Fritz Holle, Gertrud Elisabeth Holle

      Pages 74-84

   5. The Meaning of Pyloroplasty appropriate to Form and Function (ff-pypl) and its Standard Techniques [82,87,89 p. 25 ff., 92, 98,102 p. 182 ff., 107]

      • Fritz Holle, Gertrud Elisabeth Holle

      Pages 85-94

6. Results: Short Review of Experiences with the Non-resective Method in 2072 Cases (Jan 1st 1964–March 1st 1980)

   1. Front Matter

      Pages 95-95

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   2. Clinical and Experimental Examinations on the Efficiency of a ff-Pyloroplasty

      • Fritz Holle, Gertrud Elisabeth Holle

      Pages 97-98

The preceding monograph: ''Vagotomy - latest advances", Springer-Verlag, 1974 ed. by F. Holle and S. Andersson reported an innovation in surgery: the so-called "selective proximal vago­ tomy (spv) with pyloroplasty (pypl)". The usefulness of the method was put to the test in cases of peptic ulcer disease and in dog experiments. No claim was made - as some reviewers erroneously supposed - that the method was a comprehensive presentation of the surgery of peptic ulcer disease or even that it offered a patent solution to this subject Instead, it should be regarded as the initial step towards this goal. The clinical results obtained during the years 1964-74 encouraged us to pursue this line of approach with a view of reaching a stomachpreserving or non-resective method in peptic ulcer surgery and to test the appli­ cability of the method to other benign disorders of the stomach. After 16 years of testing and experience with over 2000 cases S (Dec. 1t. 1979) of selective proximal vagotomy with pyloroplasty, supplemented by advanced studies on the pathophysiology of the method, an additional volume is now proposed: "Vagotomy and Pyloroplasty, advances 1975-1980", Springer-Verlag 1980. This subsequent volume deals primarily with improvements and findings made during the last 5 years. It also refers to important questions concerning the practical performance of the method which arose from congresses and discussions in this field. These are: 1. Definition, efficiency and effects of the model: spv + pypl. 2.

• Pyloroplastik
• Surgery
• Vagotomie
• anatomy
• hernia
• abdominal surgery

• Poliklinik der Universität, München 2, Germany

  Fritz Holle

• München 90, Germany

  Gertrud Elisabeth Holle

Policies and ethics