[Skip to Content]
[Skip to Content Landing]
June 1952

PARTIAL GASTRECTOMY WITH AND WITHOUT VAGUS RESECTION IN TREATMENT OF DUODENAL ULCER: Comparative Analysis of Results of Gastrectomy Alone and Combined with Infradiaphragmatic Vagus Resection

Author Affiliations

From the Department of Surgery, Veterans Administration Hospital.

AMA Arch Surg. 1952;64(6):756-765. doi:10.1001/archsurg.1952.01260010776005

THERE has existed for many years a difference in opinion as to the type of surgical procedure which would be most efficacious in those cases of duodenal ulcer in which surgical treatment is required. Until the reports of Dragstedt in 1943 concerning the value and indications for vagotomy in the treatment of duodenal ulcer, the majority of surgeons in this country were performing a partial gastrectomy as the procedure of choice, with a high percentage of favorable results. The reintroduction of this operation of dividing or resecting a portion of the vagus nerves resulted in many surgeons and surgical groups adopting this form of surgical therapy in a large number of their cases.

During a period of about seven years, at least 4,000 vagotomies, or vagus resections, were performed in this country. The preliminary reports from various areas were favorable; however, many of these surgeons have now returned to their