Vagotomy pp 227-232 | Cite as

Critique and Summary

  • F. Holle


Non-resecting therapy in surgical treatment of GDU will be successful if due regard is given to the following statements:
  • Only true cases with GDU disease may be operated on. For this must be a sure proof by prehistory, X-ray and endoscopic examination and by secretory tests.

  • The most secure procedure of antrum — retaining operations is selective proximal vagotomy (SPV) combined with pyloroplasty based on form and function.

  • SPV is the most effective form of vagotomy since it brings about Insulin-negative behaviour (after Ross and Kay criteria) for longer than 3 months to 3 years in 78% of cases.

  • This is possible if the standardized technique described in the pages 168–173 is performed. Perfect technique of SPV is the keypoint of successful nonresecting Ulcer-Surgery.

  • If standard technique of SPV is applied a drainage procedure adjusted to the single case may not be omitted. This has been proved by clinical, X-ray and endoscopic observation over 10 years and by experimental examinations of motility and secretion with different parameters. Not every parameter produces full evidence.

  • When the advantages of the method SPV + pyloroplasty are scored against the disadvantages for 18 criteria (Table 1), the 60 plus points clearly outweigh the 32 minus points.


Duodenal Ulcer Barium Meal Truncal Vagotomy Secure Procedure Chronic Duodenal Ulcer 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Copyright information

© Springer-Verlag Berlin · Heidelberg 1974

Authors and Affiliations

  • F. Holle

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