Vagotomy and Pyloroplasty: Advances 1975-1980 by F. Holle (English) Paperback Bo

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Vagotomy and Pyloroplasty

by F. Holle, G.E. Holle

The clinical results obtained during the years 1964-74 encouraged us to pursue this line of approach with a view of reaching a stomachpreserving or non-resective method in peptic ulcer surgery and to test the appli­ cability of the method to other benign disorders of the stomach.

FORMAT Paperback LANGUAGE English CONDITION Brand New

Publisher Description

The preceding monograph: ''Vagotomy - latest advances", Springer-Verlag, 1974 ed. by F. Holle and S. Andersson reported an innovation in surgery: the so-called "selective proximal vago­ tomy (spv) with pyloroplasty (pypl)". The usefulness of the method was put to the test in cases of peptic ulcer disease and in dog experiments. No claim was made - as some reviewers erroneously supposed - that the method was a comprehensive presentation of the surgery of peptic ulcer disease or even that it offered a patent solution to this subject Instead, it should be regarded as the initial step towards this goal. The clinical results obtained during the years 1964-74 encouraged us to pursue this line of approach with a view of reaching a stomachpreserving or non-resective method in peptic ulcer surgery and to test the appli­ cability of the method to other benign disorders of the stomach. After 16 years of testing and experience with over 2000 cases S (Dec. 1t. 1979) of selective proximal vagotomy with pyloroplasty, supplemented by advanced studies on the pathophysiology of the method, an additional volume is now proposed: "Vagotomy and Pyloroplasty, advances 1975-1980", Springer-Verlag 1980. This subsequent volume deals primarily with improvements and findings made during the last 5 years. It also refers to important questions concerning the practical performance of the method which arose from congresses and discussions in this field. These are: 1. Definition, efficiency and effects of the model: spv + pypl. 2.

Notes

Springer Book Archives

Table of Contents

Contents1.- A: Introduction.- I. Mechanical Versus Functional Surgery.- II. The Beginning of Functional Surgery for Peptic Ulcer.- III. Early Observations on a Functional Method of Surgical Treatment for Peptic Ulcer.- IV. Establishment of Theoretical Model of a Non-resective Method.- B: Patho-physiological Background.- I. Definition and Efficiency of the Model.- 1. Parameters for Checking the Model.- 2. Designation of the Model.- 3. Efficiency of the Model.- II. Effects of the Model.- 1. Effect on Gastric Secretion.- 2. Long-term Effect on Acid Secretion.- 3. Explanation of the Acid-reducing Effect.- 4. Histological Effect on the Fundic Mucosa.- 5. Effect on Blood Circulation.- 6. Effect on Gastrin Release.- 7. Findings still Open to Question.- C: Prerequisites and Technique of Adequate SPV (= a-SPV).- I. Prerequisites for an a-SPV.- 1. Suitable Tests for a Critical Examination of a-SPV.- 2. Technique Which is Both Effective and Durable.- 3. Topographical and Practical Anatomy.- 4. Importance of the "Borderline Nerves".- 5. Importance of intra-operative Tests.- II. Functional Considerations Regarding Indication and Choice of Procedure.- 1. Procedures Appropriate to Form and Function.- 2. Practical Model for Non-resective Procedure.- 3. Functional "Key" to Procedure.- 4. Diagnostic System Ensuring Reliable Indication.- 5. Choice of Functional Procedure.- III. Standard Technique of Adequate SPV (a-SPV).- D: The Why? and How? of Drainage Within the Non-resective Method.- I. The Deficiencies of a-SPV.- 1. Effect on Acid Secretion and Gastrin Release After Feeding.- 2. Effect on Gastric Motility.- 3. Motility After Step-wise Denervation of the Antrum.- 4. Influence of Motility on the Pathogenesis of Gastric Ulcer (Dragstedt's Theory).- II. The Importance of the Antro-pyloric Canal.- 1. Significance of Neural and Muscle Coat Changes in the Antro-pyloric Aerea.- 2. Diagnostic Value of Gastrin Measurement.- 3. The Gastrin Profile Test.- 4. Résume of Part D I., II., 1–3.- 5. Significance of the Corpus-antrum Transitional Zone for Acid Reduction.- III. Functional Measurement of the Motility of the Stomach as a Whole (Especially Functional Scintigraphy).- 1. Gastro-duodenal Scintigraphy.- 2. Comparison of X-ray and Scintigraphic Evaluation.- 3. Esophago-gastric Scintigraphy (especially in Hiatal Hernia and Achalasia).- IV. The Meaning of Pyloroplasty appropriate to Form and Function (ff-pypl) and its Standard Techniques.- 1. Submucosal (s.m.) Pyloroplasty.- 2. Open Pyloroplasty.- 3. Pylorectomy.- 4. Retrocolic Posterior Gastro-enterostomy as a Way Out.- E: Results: Short Review of Experiences with the Non-resective Method in 2072 Cases.- I Clinical and Experimental Examinations on the Efficiency of a ff-Pyloroplasty.- II Effect of Different Pyloroplasties on Functional Results.- III Clinical Results of the Munich Series Compared to Other Studies.- IV Summary of Present Non-resective Surgery for Primary Peptic Ulcer.- F: Indication, Application and Results of the Method in Cases Other Than Primary Peptic Ulcer.- I. Complicated Ulcer.- 1. Perforated Ulcer.- 2. Bleeding Ulcer.- 3. Functional Indication and Choice of Procedure in Recurrent Ulcer.- II. Achalasia, Hiatal Hernia and other Indications.- 1. Method in Achalasia of Cardia.- 2. Method in Hiatal Hernia.- 3. Other Indications Under Discussion (Hypersecretion, Dyspepsia, Gastritis, Prophylactic Application).- III. Appendix.- 1. Indication in Cases of Concomitant Psychosyndrome.- 2. How to Advise the Patient on His Post-operative Way of Life (Leaflet).- References.

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Long Description

The preceding monograph: ''Vagotomy - latest advances", Springer-Verlag, 1974 ed. by F. Holle and S. Andersson reported an innovation in surgery: the so-called "selective proximal vago

Details ISBN3540100830 Short Title VAGOTOMY & PYLOROPLASTY Language English ISBN-10 3540100830 ISBN-13 9783540100836 Media Book Format Paperback DEWEY 617.483 Year 1980 Publication Date 1980-11-01 Imprint Springer-Verlag Berlin and Heidelberg GmbH & Co. K Place of Publication Berlin Country of Publication Germany Edited by G.E. Holle DOI 10.1007/978-3-642-67652-9 Author G.E. Holle Pages 146 Publisher Springer-Verlag Berlin and Heidelberg GmbH & Co. KG Subtitle Advances 1975–1980 Illustrations 60 Illustrations, black and white; XIV, 146 p. 60 illus. Audience Professional & Vocational

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TheNile_Item_ID:144218328;
  • Condition: Brand new
  • ISBN-13: 9783540100836
  • Book Title: Vagotomy and Pyloroplasty
  • ISBN: 9783540100836
  • Publication Year: 1980
  • Type: Textbook
  • Format: Paperback
  • Language: English
  • Publication Name: Vagotomy and Pyloroplasty: Advances 1975-1980
  • Item Height: 244mm
  • Author: F. Holle, G.E. Holle
  • Publisher: Springer-Verlag Berlin and Heidelberg Gmbh & Co. Kg
  • Item Width: 170mm
  • Subject: Surgery
  • Item Weight: 400g
  • Number of Pages: 146 Pages

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