Abstract
Many observations in the past have suggested that interruption of the vagus should result in a higher incidence of cholelithiasis, possibly due to a decreased biliary flow [1–8], but whether a sequence of a higher incidence of gallstones after gastric surgery really exists remains to be proven [9–10]. A number of reports incriminated vagotomy as a causal factor in cholelithiasis. Clave and Gaspar [3] reported an increased frequency of cholelithiasis in 116 patients who had undergone truncal vagotomy. Unfortunately many of these studies are open to criticism. Thus in the study of Clave and Gaspar [3] no control group was analysed, and the significance of 22.8% for those developing gallstones after vagotomy may not be much greater than the frequency in the control population.
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References
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Becker, H.D., Caspary, W.F. (1980). Cholelithiasis after Vagotomy. In: Postgastrectomy and Postvagotomy Syndromes. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-67350-4_25
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DOI: https://doi.org/10.1007/978-3-642-67350-4_25
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