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  • Title: [Critical position on indications for selective proximal vagotomy without drainage].
    Author: Mokros W, Hübener E, Heinzmann B.
    Journal: Z Gesamte Inn Med; 1985 Feb 15; 40(4):105-7. PubMed ID: 4002748.
    Abstract:
    In 128 patients with chronic duodenal ulcer the selective proximal vagotomy without drainage was carried out in a prospective study. Intraoperatively the test for completeness of the vagotomy was performed by means of the dye test in 50%. Postoperatively no lethal complications were to be seen, only three bronchopneumonias and one wound rupture. The late results after one year showed 77.5% Visick II, 10% Visick III and 12.5% Visick IV. After a successless conservative treatment of the 16 patients with recidivation in 10 patients the second operation had to be performed. In 6 of 10 patients pylorus stenoses were found in the operation preparation. The selective proximal drainage is an unsuitable method for pre- and intrapyloric ulcers. The intraoperative application of dye tests had no influence on the rate of recidivations.
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