Abstract
Any peptic ulcer requires free acid to sustain it. Reducing the acid peptic content of gastric secretions cures the ulcer. This can be accomplished surgically by resecting three-quarters of the stomach to remove a large number of acid-secreting parietal cells. Unfortunately, such operations have produced a high incidence of undesirable postoperative symptoms. With the development of vagotomy, however, extensive resection of the stomach has become unnecessary. Vagotomy, then, should be routinely employed in surgery for duodenal ulcer. Which type of vagotomy, and which type of resection or drainage procedure should be employed, is a controversial question.
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References
Davis Z et al. The surgically treated chronic gastric ulcer: an extended followup. Ann Surg 1977;185:205.
Goligher JC et al. Controlled trial of vagotomy and gastroenterostomy, vagotomy and antrectomy and subtotal gastrectomy in elective treatment of duodenal ulcer: interim report. Br Med J 1964;1:455.
Goligher JC et al. Several standard elective operations for duodenal ulcer: ten to 16 year clinical results. Ann Surg 1979;189:18.
Herrington JL Jr et al. A 25 year experience with vagotomyantrectomy. Arch Surg 1973;106:469.
Jordan PH Jr. Indications for parietal cell vagotomy in gastrointestinal surgery. Ann Surg 1989;210:29–41.
Littman A (ed) Veterans Administration cooperative study on gastric ulcer: healing, recurrence, cancer. Gastroenterology 1971;61:567.
Sawyers JL et al. Comparative studies of the clinical effects of truncal and selective gastric vagotomy. Am J Surg 1968;115:165.
Tanner NC. In: Harkins HN, Nyhus LM, Surgery of the stomach and duodenum. Boston: Little, Brown; 1962:133.
White TT, Harrison RC. Reoperative gastrointestinal surgery. Boston: Little, Brown; 1973.
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© 1994 Springer Science+Business Media New York
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Chassin, J.L. (1994). Operations for Peptic Ulcer. In: Operative Strategy in General Surgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4757-4169-8_18
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DOI: https://doi.org/10.1007/978-1-4757-4169-8_18
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Print ISBN: 978-1-4757-4171-1
Online ISBN: 978-1-4757-4169-8
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