[Diagnostic prerequisites of hyperselective vagotomy (author's transl)]

Area of Science:

• Gastroenterology
• Diagnostic Imaging

Background:

• Peptic ulcer diagnosis relies on imaging and endoscopy.
• Accurate diagnosis is crucial for effective treatment and surgical planning.

Purpose of the Study:

• To evaluate the role of gastroduodenoscopy in supplementing radiologic diagnoses of peptic ulcers.
• To assess the impact of diagnostic findings on operative tactics.

Main Methods:

• Retrospective analysis of 640 patients with radiologic diagnoses of duodenal or gastric ulcers.
• Gastroduodenoscopy performed in 207 cases; endoscopic retrograde pancreatography (ERP) in a few.
• Comparison of radiologic findings with endoscopic results.

Main Results:

• Gastroduodenoscopy supplemented initial radiologic diagnoses in a significant number of cases.
• In 12.3% of patients, diagnostic findings led to alterations in operative tactics.
• No single diagnostic procedure was definitively favored over the other.

Conclusions:

• Collaboration between radiologists and endoscopists is essential for optimal ulcer diagnosis.
• Endoscopic examination is valuable for optimizing or supplementing radiologic diagnoses when technical prerequisites are lacking.