This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Contact me when this article is cited  Related Content  • Similar articles in this journal

Rodney J. Croft, MA, MB, FRCS

Arch Surg. 1978;113(2):206-207.

Abstract
• Lesser curve necrosis usually presents as free perforation. A case of large gastric ulcer occurring very shortly after proximal gastric vagotomy (PGV) for a duodenal ulcer that was almost certainly due to ischemic necrosis of the lesser curve is presented here. Reperitonealization and invagination of the lesser curve is recommended following PGV so that, if necrosis occurs, it will take place within the stomach and not into the free peritoneal cavity. This maneuver may also avoid possible vagal reinnervation and the formation of dense adhesions between the stomach and liver.

(Arch Surg 113:206-207, 1978)

Author Affiliations
From the Department of Surgery, Middlesex Hospital, London.

Footnotes
Accepted for publication June 29, 1977.

Reprints not available.