In 918 operations of
gastroduodenal ulcer the operation was individually chosen. The critically indicated selective oral
vagotomy with or without drainage operation yielded comparatively good results, it is a valuable supplementation of the previously only performed resection treatment. Ulcus duodenum and ulcus pepticum jejuni post-operativum are the domain of
vagotomy, whereas in ulcus ventriculi in most cases is resected according to
Billroth I. In old patients or severe concomitant diseases
vagotomies--even in
hypochlorhydria--yield as satisfying results as excision of
ulcer and segment resections.
Bleeding or perforated parapyloric
ulcers were in selected cases also treated by
vagotomies. On account of good early and late results the 2/3 resektion after
Billroth I or II is never defective and it is more favourable for the patient than a wrongly indicated and technically insufficiency performed
vagotomy. Operative techniques should be used which are mastered methodically. The
vagotomy demands a critical indication and cautions technique, in the hand of an experienced operator it anticipates the removal of
peptic ulcer. A final judgment is allowed only after an interval of 1 to 2 decenniums.