Proximal Gastric Vagotomy: Surgical Legacy Technique

  • Carol E. H. Scott-ConnerEmail author
  • Jameson L. Chassin


Proximal gastric vagotomy is a precise operation that divides the terminal vagal branches innervating parietal cell mass while preserving branches to the liver and the pylorus. This chapter details the technique of this rarely performed operation.


Vagus Nerve Gastric Wall Distal Esophagus Terminal Branch 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.

Further Reading

  1. Casas AT, Gadacz TR. Laparoscopic management of peptic ulcer disease. Surg Clin N Am. 1996;76:515.PubMedCrossRefGoogle Scholar
  2. Dallemagne B, Weerts JM, Jehaes C, Markiewicz S, Lombard R. Laparoscopic highly selective vagotomy. Br J Surg. 1994;81:554.PubMedCrossRefGoogle Scholar
  3. Donohue PE. Ulcer surgery and highly selective vagotomy—T2K. Arch Surg. 1999;134:1373.CrossRefGoogle Scholar
  4. Grassi G. Special comment: anatomy of the “criminal branch” of the vagus and its surgical implications. In: Nyhus LM, Wastell C, editors. Surgery of the stomach and duodenum. Boston: Little, Brown; 1977. p. 61.Google Scholar
  5. Hallenbeck GA, Gleysteen JJ, Aldrete JS. Proximal gastric vagotomy: effects of two operative techniques on clinical and gastric secretory results. Ann Surg. 1976;184:435.PubMedCrossRefGoogle Scholar
  6. Jordan Jr PH. Indications for parietal cell vagotomy without drainage in gastrointestinal surgery. Ann Surg. 1989;210:29.PubMedCrossRefGoogle Scholar
  7. Jordan Jr PH, Thornby J. Parietal cell vagotomy performed with fundoplication for esophageal reflux. Am J Surg. 1997;173:264.PubMedCrossRefGoogle Scholar
  8. Temple MB, McFarland J. Gastroesophageal reflux complicating highly selective vagotomy. Br J Surg. 1975;2:168.Google Scholar
  9. Valen B, Halvorsen JF. Reperitonealization of the lesser curve in proximal gastric vagotomy for duodenal ulcer. Surg Gynecol Obstet. 1991;173:6.PubMedGoogle Scholar
  10. Wilkinson JM, Hosie KB, Johnson AG. Long-term results of highly selective vagotomy: a prospective study with implications for future laparoscopic surgery. Br J Surg. 1994;81:1469.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  • Carol E. H. Scott-Conner
    • 1
    Email author
  • Jameson L. Chassin
    • 2
  1. 1.Department of Surgery, Roy J. and Lucille A. Carver College of MedicineUniversity of IowaIowa CityUSA
  2. 2.Department of SurgeryNew York University School of MedicineNew YorkUSA

Personalised recommendations