The pathophysiological basis of vagotomy in perforated duodenal ulcers
Potashov, L.V.; Morozov, V.P.; Did-Zurabova, E.S.; Savranskiĭ, V.M.; Kudrevatykh, I.P.; Arutiunian, A.A.; Boriskova, M.E.
Vestnik Khirurgii Imeni I. I. Grekova 156(1): 17-19
1997
ISSN/ISBN: 0042-4625 PMID: 9163186 Document Number: 481302
Fractional intubation, intragastric pH-metry and other methods were used in complex examination of 107 patients who had perforated duodenal ulcers. The influence of surgical vagotomy upon the state of tissue blood flow was determined by means of polarography with a medicamentous vagotomy test. The medicamentous denervation was found to result in decreased blood supply of the acid-producing area and increased blood filling of the duodenum mucose. A conclusion is made that performing vagotomy is expedient after suturing the ulcer defect in patients having no diffuse purulent peritonitis.