Selective Vagotomy in the Prevention of Post-Vagotomy Diarrhœa

Steatorrhoea and diarrhoea after vagotomy: a comparison of drainage procedures

“…If the patients in category II are added, the incidence of diarrhoea rises to 13-6% which is similar to the figure of 12-0% given by Burge, Rizk, Tompkin, Barth, Hutchison, Longland, McLennan, and Miln (1961) for selective vagotomy. 188 procedure.…”

Double-blind trial of cholestyramine in post-vagotomy diarrhoea.

“…Diarrhoea is a common complication of this procedure, occurring in 25 % or more of cases (Burge et al, 1961;Cox and Bond, 1964). Severe diarrhoea is less common but when it occurs it is frequently intractable and unpredictable and thus socially disabling.…”

Faecal Fat Excretion and Stool Colour after Vagotomy and Pyloroplasty

“…In addition, it has been stated that after vagotomy and gastrojejunostomy the stools are lighter in colour (Grimson, Baylin, Taylor, Hesser, and Rundles, 1947;Burge, Rizk, Tompkin, Barth, Hutchison, Longland, McLennan, and Miln, 1961;Elliot-Smith et al, 1961;Cox and Bond, 1964;Goligher, Pulvertaft, and Watkinson, 1964), but a review of the subject fails to reveal any information about pigment excretion before and after operation.…”

“…At the present moment the most commonly advocated preventive measure is that of selective vagotomy, in which either or both of the main extragastric branches of the abdominal vagus are preserved (Burge, 1964). This paper presents a study of the effect of vagotomy and pyloroplasty on faecal fat excretion, faecal urobilinogen excretion, and bowel frequency.…”

“…A short section of both vagi was excised, the ends being either ligated with thread or coagulated by diathermy. Anterior selective vagotomy was carried out as described by Burge (1964). The pyloroplasty was of Heineke-Mikulicz type, 8-10 cm.…”