title: Resection of terminal vagal branches to parietal cell mass in the treatment of duodenal ulcer.
abstract: In order to completely denervate the parietal cell mass and to prevent the undesirable side effects of highly selective vagotomy, the authors devised a new and simpler modified operative procedure. First, the anterior and posterior leaves of the lesser omentum are divided from the stomach at their attachment 6 cm proximal to the pylorus to the level 2 to 2.5 cm below the esophagogastric junction. Second, a circular seromuscular incision is made at the anterior and posterior wall of the stomach from the lesser curve 2 to 2.5 cm below the cardia to the highest short gastric artery at the greater curve. Forty cases followed for an average period of 21.8 months with satisfactory postoperative results reported.
mesh_terms: D000328:Adult; D000818:Animals; D002908:Chronic Disease; D004285:Dogs; D004381:Duodenal Ulcer / Q000175:diagnosis / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D009852:Omentum / Q000601:surgery; D010439:Peptic Ulcer Perforation / Q000601:surgery; D011182:Postoperative Care; D014628:Vagotomy / Q000379:methods*; D014629:Vagotomy, Proximal Gastric / Q000379:methods*