Skip to main content

Vagotomy in Ulcer Complications

  • Chapter
Vagotomy

Abstract

Besides simple suture of perforated peptic ulcer as an emergency procedure, curative ulcer surgery as a primary procedure is gaining in importance. Today vagotomy with drainage has a firm place in treatment because of its low mortality (Table 1). However, primary curative surgery is carried out only in selected cases, whereas simple suture primalis performed on high-risk patients [1]. The decision to attempt curative treatment is determined by the length of preceding dyspeptic history, an interval of less than 8 hours since perforation, age under 70 years, and reasonable health [2, 4, 5, 6]. If vagotomy is used, the truncal form is usually [4, 5, 6], but there are also recent reports on selective gastric vagotomy in selected cases [2, 3, 6].

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Cohen, M. M.: Treatment and mortality of perforated peptic ulcer: A survey of 852 cases, C. M. A. Journal 105,433 (1971)

    Google Scholar 

  2. Holle, F.: Spezielle Magenchirurgie, p. 433. Berlin-Heidelberg-New York: Springer 1968

    Google Scholar 

  3. Sehuman, L., Schultheiss, H. R., Hell, K., Allgower, M.: Vagotomie und Pyloroplastik in der Behandlung des perforierten Gastroduodenalulcus. Retrospektive Studie der Jahre 1968–1970. Schweiz. Med. Wschr. 102, 1552 (1972)

    Google Scholar 

  4. Wastell, C.: Chronic duodenal ulcer. London: Butterworth 1972

    Google Scholar 

  5. Williams, J. A.: Emergency surgery — bleeding and perforation. In: after vagotomy. Ed. by J. A. Williams and A. G. Cox. London: Butterworth 1969

    Google Scholar 

  6. Williams, J. A.: Vagotomy in emergency surgery. In: Vagotomy on Trial. Ed. by A-G. Cox and J. A. Williams. London: Heinemann 1973

    Google Scholar 

  7. Boulos, P. B., Harris, J., Wyllie, J. H., Clark, C. G.: Conservative surgery in 100 patients with bleeding peptic ulcer. Brit. J. Surg. 58, 817 (1971)

    Article  PubMed  CAS  Google Scholar 

  8. Desmond, A. M., Reynolds, K. W.: Erosive gastritis: Its diagnosis, management and surgical treatment. Brit. J. Surg. 59, 5 (1972)

    Article  PubMed  CAS  Google Scholar 

  9. Farmer, D. A., Harrower, H. W., Smithwick, R. H.: The choice of surgery in peptic ulcer disease. Am. J. Surg. 120,295 (1970)

    Article  PubMed  CAS  Google Scholar 

  10. Hell, K., Schultheiss, H. R., Schumann, L., Allgower, M.: Vagotomie und Pyloroplastik in der Behandlung des blutenden Gastroduodenalulcus. Retrospektive Studie der Jahre 1968 bis 1970. Schweiz. Med. WSchr. 102, 1112 (1972)

    PubMed  CAS  Google Scholar 

  11. Holle, F.: Spezielle Magenchirurgie. pg. 405. Berlin-Heidelberg-New York: Springer 1968

    Google Scholar 

  12. Kirtley, J. A., Scott, H. W., Sawyers, J. L., Graves, H. A., Lawler, M. R.: The surgical management of stress ulcers. Ann. Surg. 169, 801 (1969)

    Article  PubMed  CAS  Google Scholar 

  13. Mori, F. K.: Zur Operationsindikation und Therapie von Blutungen aus dem oberen Gastrointestinaltrakt. In: Der Notfall: Gastrointestinalblutung. Ed. by H. J. Streicher and J. Rolle. Stuttgart: Thieme 1972

    Google Scholar 

  14. Nyhus, L. M.: Massive upper gastrointestinal hemorrhage. In: Surgery of the stomach and duodenum, 2. edition. Ed. by H. N. Harkins and L. M. Nyhus. Boston: Little, Brown and Company 1969

    Google Scholar 

  15. Vogel, T. T.: Critical issues in gastroduodenal hemorrhage: The role of vagotomy and pyloroplasty. Ann. Surg. 176,144 (1972)

    Article  PubMed  CAS  Google Scholar 

  16. Wastell, C.: Chronic duodenal ulcer. London: Butterworth 1972

    Google Scholar 

  17. Williams, J. A.: Vagotomy in emergency surgery. In: Vagotomy on Trial. Ed. by A. G. Cox and J. A. Williams. London: Heinemann 1973

    Google Scholar 

  18. Amdrup, E.: Selective vagotomy of the gastric remnant for extragastric ulcer recurrence following resection Scand. J. Gastroent. 6,489 (1971)

    Article  PubMed  CAS  Google Scholar 

  19. Amgwerd, R., Kessler, W.: Verlaufsstudie an 100 Kranken mit Ulcus pepticum postoperativum. Schweiz. Med. Wschr. 100,1914 (1970)

    PubMed  CAS  Google Scholar 

  20. Baron, J. H.: The clinical use of gastric function tests. Scand. J. Gastroent. 5, Suppl. 6, 9 (1970)

    Google Scholar 

  21. Clark, C. G., Murray, J. G., Slessor, I. M., Wyllie, J. H.: Complete vagotomy and its consequences: Follow up of 146 patients. Brit. Med. J. 1964/II, 900

    Article  Google Scholar 

  22. Condon, J. R., Tanner, N. C.: Retrospective review of 208 proved cases of anastomotic ulcer. Gut 9,438 (1968)

    Article  PubMed  CAS  Google Scholar 

  23. Fawcett, A. N., Johnston, D., Duthie, H. L.: Revagotomy for recurrent ulcer after vagotomy and drainage for duodenal ulcer. Brit. J. Surg. 56, 111 (1969)

    Article  PubMed  CAS  Google Scholar 

  24. Fritsch, W. P., Müller, J., Rick, W., Hausamen, T. U.: Serum-Gastrinspiegel and Magensekretion bei Patienten mit ulcus pepticum. Dtsch. Med. Wschr. 97,1945 (1972).

    Article  PubMed  CAS  Google Scholar 

  25. Hantschmann, N.: Vor und Nachteile der einzelnen Operationsverfahren beim Ulcus duodeni. Dtsch. Med. J. 23,43 (1972)

    PubMed  CAS  Google Scholar 

  26. Holle, F.: Spezielle Magenchirurgie. Berlin-Heidelberg-New York: Springer 1968, Lp 376.

    Google Scholar 

  27. Korman, M. G., Scott, D. F., Hansky, J., Wilson, H.: Hypergastrinaemia due to an excluded antrum: a proposed method for differentiation from the Zollinger Ellison syndrome. Aust. N. Z.J. Med. 3,266 (1972)

    Article  Google Scholar 

  28. Lataste, J., Albou, J. C.: Les ulcéres anastomotiques gastriques. A propos de 40 observations. J. Chir. 103,135(1972).

    CAS  Google Scholar 

  29. Mouchet, A., Marquand, J., Guivarch, M., Maisel, A.: A propos de 36 cas d’ulcéres peptiques postoperatoires. J. Chir. 94,129 (1967)

    CAS  Google Scholar 

  30. Nyhus, L. M.: Stomal ulcer. In: Surgery of the stomach and duodenum 2. edition. Ed. by H. N. Harkins and L. M. Nyhus. Boston: Little, Brown and Company, 1969

    Google Scholar 

  31. Ottenjann, R.: Voruntersuchungen und Indikation zu Späteingriffen am operierten Magen. Med. Klin. 67,475 (1972)

    PubMed  CAS  Google Scholar 

  32. Pfeiffer, K. M., Eckmann, L.: Pathogenetische und chirurgische Aspekte des ulcus pepticum jejuni anhand von 82 operierten Fällen. Langenbecks Arch. Chir. 308,415 (1964)

    Article  PubMed  CAS  Google Scholar 

  33. Rdsch, W., Schmidt, H.: Diagnostische Wertigkeit der Endoskopie beim Anastomosenulcus. 3. Europ. Gastrocamera Symp. Berlin 1971

    Google Scholar 

  34. Sailer, R., Schacht, U., Jiinemann, A.: Früh-und Spätergebnisse der chirurgischen Behandlung des Ulcus pepticum jejuni. Bruns’ Beitr. klin. Chir. 220,461 (1973)

    Google Scholar 

  35. Schreiber, H. W., Ackeren, H., Rehner, M.: Späteingriffe am operierten Magen. Bruns’ Beitr. klin. Chir. 220,133 (1973)

    CAS  Google Scholar 

  36. Stefanics, J., Gergely, Z., Koscis, L., Bardosi, Z.: Geschwürrezidiv (sog. Anastomosengeschwür) nach Magenoperationen. Chirurg 43,471 (1972)

    PubMed  CAS  Google Scholar 

  37. Stiicker, F. J., Larena, A., Hoffmann, K., Zumtobel, V.: Frühe und spate Reinterventionen nach Resektion wegen Gastro-Duodenal-Ulcus. Chirurg 44, 7 (1973)

    Google Scholar 

  38. Becker, H. D., Reeder, D. D., Scurry, M. T., Thompson, J. C.: Inhibition of Gastrin release and Gastric Secretion by Calcitonin in Patients with Peptic Ulcer. Am. Jour. Surg. 127,71 (1974)

    Article  CAS  Google Scholar 

  39. Thompson, J. C, Reeder, D. D., Bunchman, H. H.: Clinical role of serum gastrin measurements in the Zollinger Ellison syndrome Am. J. Surg. 124,250 (1972)

    Article  PubMed  CAS  Google Scholar 

  40. Wychulis, A. R., Priestley, J. T., Foulk, W. T.: A study of 360 patients with gastrojejunal ulceration. Surg. Gyn. Obstet. 135, 89 (1966).

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1974 Springer-Verlag Berlin · Heidelberg

About this chapter

Cite this chapter

Holle, F., Andersson, S. (1974). Vagotomy in Ulcer Complications. In: Holle, F., Andersson, S. (eds) Vagotomy. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-65889-1_39

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-65889-1_39

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-06801-3

  • Online ISBN: 978-3-642-65889-1

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics