[Problems of circulation in and after selective proximal vagotomy]

After vagotomy the perfusion of the stomach may be reduced. Therefore vagotomy is contraindicated in preoperative disturbances of the perfusion following arteriosclerosis (diabetes mellitus, hypertension, old age) or an operation in the upper abdomen (e.g. splenectomy). Attention should be paid to perfusion in the cases of surgical events in the upper abdomen after vagotomy (e.g. splenectomy, hemigastrectomy, pancreatectomy). In the necrosis of the minor curve after highly selective vagotomy the hemigastrectomy is better then a suture only.