[Precardial proximal vagotomy with pyloroplasty in surgery of chronic duodenal ulcers].

The performance of a new operation, precardial proximal vagotomy, for treatment of chronic duodenal ulcer is substantiated, described, and its results are discussed. It consists in division of the proximal vagal branches, stretching to the gastric acid-producing zones, at the level of the cardia, without cutting the blood vessels and sympathetic fibres. This operation in combination with pyloroplasty and temporary drug blockade of the celiac plexus excels in efficacy all the other methods of surgical management of duodenal ulcer. According to wide indications, it was conducted on 149 patients, in 68 of them in combination with the above-named additional interventions. During a 7-year follow-up period of the late results, a recurrent ulcer was encountered in one patient and group III visick trouble in another one.