Some Other Operations for Gastric Ulcer: A. Kelling-Madlener Operation: B. Wedge Resection and Pyloroplasty: C. Pyloroplasty (with Ulcer in Situ)

Vagotomy and Pyloroplasty for Gastric Ulcer

“…A third possibility is the Kelling-Madlener operation, in which the ulcer (after biopsy) is left in situ and a distal gastrectomy performed. Mauer (1951) reported good results with this operation, and it has been suggested as a possible alternative to gastrectomy by Farris and Smith (1966). We believe, however, that in patients with high ulcers vagotomy and pyloroplasty with biopsy of the ulcer edge is probably the wisest choice.…”

“…Successful treatment of gastric ulcers by vagotomy and pyloroplasty has been reported by several authors (Hendry and Bahrani, 1965;Farris and Smith, 1966;Burge, 1966;McNeill et al, 1969). Forrest (1969) reviewed the literature and concluded that the overall results were not as good as those of Billroth I gastrectomy.…”

Vagotomy or Gastrectomy for Gastric Ulcer

“…The incidence of recurrent gastric ulcer (10%) after vagotomy remains within the range of 0 to 36% reported in the literature (Weinberg, 1961;Hendry and Bahrani, 1965;Burge, 1966;Dorton, 1966;Farris and Smith, 1966;Kraft et al, 1966;Read, 1966;Stemmer et al, 1968;McNeill et al, 1969;Duthie et al, 1970) even though we have taken care to exclude combined ulcers which do better after vagotomy and pyloroplasty (Douglas and Duthie, 1971). In one case recurrence could be attributed to incomplete vagotomy but in the remainder it can only be suggested that the vagotomy and pyloroplasty had not produced a sufficient alteration in the aetiological factors to maintain healing.…”

Breve historia de la cirugía del estómago

“…Victor Pauchet en 1920, introdujo la escisión en raqueta para úlceras gástricas altas en la curva menor o cara posterior 1 . Otra alternativa fue la gastrectomía distal dejando la úlcera in situ, operación llamada de Kelling-Madlener, al parecer Georg Kelling (1918) fue quien describió la operación, pero fue Max Madlener (1929) quien publicó una serie de casos 7 . En 1978, Attila Csendes, en Chile, propone una técnica para las úlceras subcardiales que lleva su nombre 8 .…”