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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.
J Hildebrandt, and
U Herrmann
August 1989,
Khirurgiia,
J Hildebrandt, and
U Herrmann
August 1985,
Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen,
J Hildebrandt, and
U Herrmann
January 1979,
Acta chirurgica Scandinavica,
J Hildebrandt, and
U Herrmann
January 1976,
European surgical research. Europaische chirurgische Forschung. Recherches chirurgicales europeennes,
J Hildebrandt, and
U Herrmann
July 1971,
Nordisk medicin,
J Hildebrandt, and
U Herrmann
January 1971,
Bulletin de la Societe internationale de chirurgie,
J Hildebrandt, and
U Herrmann
January 1971,
Acta chirurgica Scandinavica,
J Hildebrandt, and
U Herrmann
January 1987,
Zentralblatt fur Chirurgie,
J Hildebrandt, and
U Herrmann
March 1978,
Schweizerische medizinische Wochenschrift,
J Hildebrandt, and
U Herrmann
May 1980,
Ugeskrift for laeger,
