Intragastric blood flow in the etiology of duodenal ulcer--new aspects of surgical treatment
Saenko, V.F.; Babenkov, G.D.; Smorzhevskiĭ, V.I.; Groĭsman, S.D.; Gubkin, V.A.; Virchenko, S.B.; Furmanenko, E.D.; Buryĭ, A.N.
Klinicheskaia Khirurgiia 8: 1-5
1990
ISSN/ISBN: 0023-2130 PMID: 2259087 Document Number: 357480
In the experiment on dogs and in patients with duodenal ulcer disease, it was established that the regulation of acid production besides the vagal nerves was mediated by the intragastric gastrin transport with the blood flow. A method of preoperative diagnosis of the intensity of intragastric blood flow permitting to define more accurately the indications for the choice of a method for surgical treatment has been developed. Supplementation of the selective proximal vagotomy with circular mucosectomy at the boundary between the antrum and body of a stomach enhances the effectiveness of operation due to reduction of the antral gastrin influence on the acid-producing zones of the stomach.