Is There a Place for Proximal Gastric Vagotomy?

  • Bernard J. Perey
Part of the Topics in Gastroenterology book series (TGEN)


Selective denervation of the acid-secreting portion of the stomach was introduced in 1967 by Holle and Hart of Munich,1 who combined the procedure with pyloroplasty. The operation was later popularized without the pyloroplasty by Johnston and Wilkinson in Leeds2,3 and Amdrup and Jensen in Copenhagen.4 Quite rapidly, this type of vagotomy gained favor throughout Europe and became widely used in several countries for the elective surgical treatment of duodenal ulcer.5–14 In contrast, adoption of this operation has been slow in North America, particularly in the United States where caution has been expressed against the wide use of this vagotomy because of the fear that many surgeons may not perform the procedure adequately or that the incidence of recurrent ulceration may eventually turn out to be prohibitively high. Thus, it is not surprising that we should address once again the question of whether or not there is a place for proximal gastric vagotomy.


Duodenal Ulcer Acid Secretion Lower Esophageal Sphincter Parietal Cell Duodenal Ulcer Patient 
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.


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Copyright information

© Plenum Publishing Corporation 1989

Authors and Affiliations

  • Bernard J. Perey
    • 1
  1. 1.Department of SurgeryDalhousie UniversityHalifaxCanada

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