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October 1967

Selective Gastric VagotomyA Critical Reappraisal

Author Affiliations

Ann Arbor, Mich
From the Department of Surgery, University of Michigan Medical Center and Veterans Administration Hospital, Ann Arbor, Mich.

Arch Surg. 1967;95(4):625-630. doi:10.1001/archsurg.1967.01330160095012

TWENTY years have passed since the introduction of the selective gastric vagotomy by Jackson.1 The theory that preservation of the hepatic and celiac branches of the vagi would decrease the incidence and severity of the postvagotomy syndrome met with little enthusiasm until ten years later when Griffith,2 Burge,3 Harkins,4 and Smith5 provided favorable reports from both the laboratory and the clinic. Our own enthusiasm for this operation was related to this Association in 19626 and the spirited discussion which followed led the authors to initiate the present study. This delayed clinical reappraisal is an effort to determine the practical significance of the selective modification of vague nerve interruption.

Material  One hundred patients treated surgically for peptic disease are included in this study. The operations were done at the Ann Arbor Veterans Administration Hospital between January 1962 and March 1963 (Table 1). Indications for surgery

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