Factibilidad de la vagotomía altamente selectiva con piroloplastia en la estenosis duodenal péptica

a single-blind controlled prospective study was performed in “dr. carlos j. finlay” central military hospital over o period of 16 years, to verify feasibility of a highly selective vagotomy with pyloroplasty in peptic duodenal stenosis. the highly selective vagotomy technique was of the hill-barker modification in both groups. study included 64 patients, 51 males and 12 females aged as average 47. there wasn't intraoperative complications neither deaths. early postoperative complications were present in 46.9 % of study group, and in 31.3 % of control group, but these were slights and disappeared before the three first months. there was two ulcerative relapses (6.3 %) in study group, non-associated with technique. clinical results were satisfactory in 96,9 % of control group, and in 90.6 % of study group, without association with surgical procedure. thus, pyloroplasty don't invalidates excellent results of highly selective vagotomy.