Adequate selective proximal vagotomy with pyloroplasty as nonresective surgery for peptic ulcer disease: a 20 year review.

Nonresective surgery for gastro-duodenal ulcers (GDU) is the operation of choice in 95% of cases of duodenal ulcer (DU) and approximately 50% of cases of gastric ulcer (GU), with a good probability of permanent success if an adequate selective proximal vagotomy (a-SPV) is combined with a pyloroplasty based on form and function (ff-Py). The result is the elimination of local foci and secretion and motility disturbances.