[Ways of reducing the number of recurrences of duodenal ulcer after selective proximal vagotomy]

Abstract

Analysis of the results of operations on 271 patients for duodenal ulcer by four variants of selective proximal vagotomy showed that mobilization of merely the lesser curvature and the anterior surface of the distal end of the esophagus reduces acidity insufficiently (by 36.3%) and leads to a great number of recurrences (20%). In mobilizing the esophagus by 2-3 cm the acidity reduces by 50.6% and recurrences to 5.8%, in mobilization of the whole abdominal esophagus acidity reduces by 73.7% and recurrences to 3.1%. Inclusion of mobilization of the posterior wall of the gastric cardia in the operation and division of the auxiliary parasympathetic branches are most effective, there are no recurrences.