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September 1959

Studies in Duodenal Ulcer Surgery: III. Partial Vagotomy with Complete Gastric Vagotomy

Author Affiliations

Miami, Fla.; New York
Present address of Dr. Martin: Department of Surgery, Jackson Memorial Hospital, Miami.; Department of Surgery of the College of Physicians and Surgeons of Columbia University and the Surgical Services of the Presbyterian Hospital, New York.

AMA Arch Surg. 1959;79(3):510-513. doi:10.1001/archsurg.1959.04320090158025

Introduction  Vagectomy has become well established in recent years as an important tool in the surgical treatment of duodenal ulcer.That the procedure is gaining an everwidening acceptance is seen by its inclusion as the basic step in a number of relatively new operations for duodenal ulcer being utilized by different clinical investigators.3,5,11,12The many writers in the field continue to evince great interest in the nutritional aspects of the surgery of peptic disease. Dissatisfaction with the results in this general area has probably been the most important stimulus to the development of new approaches, most of which have in commonthe effort to retain a more adequate gastric reservoir than that permitted by the standard two-thirds to three-fourths resection.Vagectomy is the step which has allowed greater leeway in the amount of parietal cell-bearing gastric fundus that may be left intact without fear of continuing gastric acid hypersecretion.That

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