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PARTIAL GASTRECTOMY WITH AND WITHOUT VAGUS RESECTION IN TREATMENT OF DUODENAL ULCERComparative Analysis of Results of Gastrectomy Alone and Combined with Infradiaphragmatic Vagus Resection
LOUIS T. PALUMBO, M.D.;
R. E. PAUL, M.D.;
G. T. WESTLY, M.D.
AMA Arch Surg. 1952;64(6):756-765.
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THERE has existed for many years a difference in opinion as to the type of surgical procedure which would be most efficacious in those cases of duodenal ulcer in which surgical treatment is required. Until the reports of Dragstedt in 1943 concerning the value and indications for vagotomy in the treatment of duodenal ulcer, the majority of surgeons in this country were performing a partial gastrectomy as the procedure of choice, with a high percentage of favorable results. The reintroduction of this operation of dividing or resecting a portion of the vagus nerves resulted in many surgeons and surgical groups adopting this form of surgical therapy in a large number of their cases.
During a period of about seven years, at least 4,000 vagotomies, or vagus resections, were performed in this country. The preliminary reports from various areas were favorable; however, many of these surgeons have now returned to their
. . . [Full Text PDF of this Article]
Author Affiliations
DES MOINES, IOWA
From the Department of Surgery, Veterans Administration Hospital.
Footnotes
Sponsored by the Veterans Administration and published with the approval of the Chief Medical Director. The statements and conclusions published by the authors are the result of their own study and do not necessarily reflect the opinion or policy of the Veterans Administration.
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