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Is There a Place for Proximal Gastric Vagotomy?

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Modern Concepts in Gastroenterology Volume 2

Part of the book series: Topics in Gastroenterology ((TGEN))

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Abstract

Selective denervation of the acid-secreting portion of the stomach was introduced in 1967 by Holle and Hart of Munich,1 who combined the procedure with pyloroplasty. The operation was later popularized without the pyloroplasty by Johnston and Wilkinson in Leeds2,3 and Amdrup and Jensen in Copenhagen.4 Quite rapidly, this type of vagotomy gained favor throughout Europe and became widely used in several countries for the elective surgical treatment of duodenal ulcer.5–14 In contrast, adoption of this operation has been slow in North America, particularly in the United States where caution has been expressed against the wide use of this vagotomy because of the fear that many surgeons may not perform the procedure adequately or that the incidence of recurrent ulceration may eventually turn out to be prohibitively high. Thus, it is not surprising that we should address once again the question of whether or not there is a place for proximal gastric vagotomy.

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  1. Department of Surgery, Dalhousie University, B3H 2Y9, Halifax, Nova Scotia, Canada

    Bernard J. Perey

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  1. University of Calgary, Calgary, Alberta, Canada

    Eldon Shaffer M.D.

  2. The University of Alberta, Edmonton, Alberta, Canada

    Alan B. R. Thomson M.D., Ph.D.

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Perey, B.J. (1989). Is There a Place for Proximal Gastric Vagotomy?. In: Shaffer, E., Thomson, A.B.R. (eds) Modern Concepts in Gastroenterology Volume 2. Topics in Gastroenterology. Springer, Boston, MA. https://doi.org/10.1007/978-1-4613-0781-5_10

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  • DOI: https://doi.org/10.1007/978-1-4613-0781-5_10

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