Proximal Gastric Vagotomy

  • Jameson L. Chassin


As mentioned in Chap. 9, proximal gastric vagotomy without a drainage procedure has the smallest number of undesirable postoperative sequelae and the lowest mortality rate of any operation for duodenal ulcer. On the other hand, the incidence of recurrent ulcer after this procedure may reach 10% over the course of a 5–10 year follow-up period. Because many of the complications following drainage procedures and gastric resection can be extremely unpleasant—such as dumping, weight loss, and malabsorption—it may prove worthwhile to assume the risk of a 10% recurrence rate to avert all these complications.


Duodenal Ulcer Vagus Nerve Gastric Wall Distal Esophagus Esophagogastric Junction 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. Grassi G (1977) in Nyhus LM, Wastell C Surgery of the stomach and duodenum. Little Brown, Boston, p. 61Google Scholar
  2. Hallenbeck GA et al. (1976) Proximal gastric vagotomy: effects of two operative techniques on clinical and gastric secretory results. Ann Surg 184: 435PubMedCrossRefGoogle Scholar
  3. Sanker MY et al. (1976) The advantages of combining posterior gastropexy with proximal gastrectomy. Chir Gastroent (Surg Gas-troent) 10: 389Google Scholar
  4. Temple MB, McFarland J (1975) Gas-troesophageal reflux complicating highly selective vagotomy. Br J Surg 2: 168Google Scholar

Copyright information

© Springer-Verlag New York Inc. 1980

Authors and Affiliations

  • Jameson L. Chassin
    • 1
    • 2
    • 3
    • 4
    • 5
  1. 1.School of MedicineNew York UniversityUSA
  2. 2.University Hospital, New York University Medical CenterUSA
  3. 3.New York Veterans Administration HospitalUSA
  4. 4.Bellevue HospitalUSA
  5. 5.Long Island Jewish-Hillside Medical CenterUSA

Personalised recommendations