Langenbecks Arch Chir. 1975 Nov;339:621-30.
The course reviews the present status in the field of Vagotomy with reference to pathophysiology, gastrin release, anatomy, neural changes in the antrum, acid secretion, GI hormones, gastric motility, pepsin concentration, mucus production, O2 tension in the gastric mucosa, changes in the numbers of parietal cells, glucose tolerance, indications, diagnosis, necessity for drainage, acute complications, exclusion of malignancy in gastric ulcer; technique, intraoperative tests, results with TV, SV with antrectomy, recurrences, SPV and pyroplasty (controlled study), training. Nonresecting surgery of GDU is possible if vagotomy (SPV) and drainage (pyloroplasty) are correctly combined.
本课程回顾了迷走神经切断术领域的现状，涉及病理生理学、胃泌素释放、解剖学、胃窦神经变化、胃酸分泌、胃肠激素、胃动力、胃蛋白酶浓度、黏液分泌、胃黏膜氧张力、壁细胞数量变化、葡萄糖耐量、适应症、诊断、引流必要性、急性并发症、胃溃疡恶性肿瘤排除；技术、术中测试、电视辅助迷走神经切断术结果、胃窦切除术加迷走神经切断术、复发、选择性近端迷走神经切断术和胃成形术（对照研究）、培训。如果正确联合迷走神经切断术（选择性近端迷走神经切断术）和引流术（幽门成形术），胃十二指肠溃疡的非切除手术是可行的。
