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Article
March 1953

VAGOTOMYFollow-Up of One Hundred Cases

Author Affiliations

CLEVELAND
From Crile Veterans Administration Hospital and the Department of Surgery of Western Reserve University School of Medicine.

AMA Arch Surg. 1953;66(3):375-382. doi:10.1001/archsurg.1953.01260030390013
Abstract

WITH OPINIONS concerning the proper treatment of intractable peptic ulcer still varying so widely, further reports of carefully followed series of vagotomies are necessary. After having performed 620 vagus sections, Dragstedt1 is convinced that this operation combined with a small posterior gastroenterostomy should replace subtotal gastric resection in the treatment of duodenal, marginal, and some esophageal ulcers. Crile2 is equally enthusiastic after performing 257 vagotomies and gastroenterostomy without a death and with only three failures in the first 100 patients followed for 18 months or longer. Grimson3 feels that complications or side-effects limit the usefulness of vagotomy more than the occasional failure of an ulcer to heal. Walters4 questions whether it is necessary or possible to sever all vagus fibers, since he has noted 10 to 20% positive insulin tests postoperatively. He now uses the operation for recurring ulceration after adequate partial gastrectomy and feels that

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