The technique of bilateral selective vagotomy with the electrical stimulation test

Abstract

and in 6 (40 per cent) of the patients mentioned with early temporary diarrhoea. This type of diarrhoea occurred as frequently after selective vagotomy as after total vagotomy. The incidence of pyloric stenosis in the whole vagotomy series was 24 per cent and in the pyloroplasty group 23 per cent. The incidence of pyloric stenosis in the 79 pyloroplasty patients showing a noticeable delay in the second week was 28 per cent, suggesting that pyloric stenosis is not a predisposing factor. However, 5 out of the 10 cases with severe delay in Table I did have pyloric stenosis. Hendry (1963) and Williams and Barnes (1966) found that pyloric stenosis did not predispose to gastric stasis after vagotomy. SUMMARYThree cases of acute dilatation of the stomach after vagotomy are described. Ten more cases of THE TECHNIQUE THEconsiderable gastric distension were detected by barium meal. All showed a large amount of residual fluid after starving overnight. It is suggested that a routine vertical film of the abdomen before breakfast to show the presence of residual fluid should be done on rice-eating people between the eighth and ninth day after vagotomy before allowing them to go on to a rice diet because of its hygroscopic properties and bulk. 452BRIT.

An autoradiographic study of the distribution of the vagus nerve in the wall of the ferret stomach

“…Selective vagotomy and proximal gastric vagotomy are now being supplemented with either Burge's or Grassi's intraoperative tests in order to test the completeness of the denervation of the parietal cells (Burge and Frohn, 1969;Grassi, 1975). In some cases where these tests have confirmed the completeness of parietal cell denervation, recurrent ulcerations have been seen several months or years later (Wastell and Zervos, 1976;Storey et al, 1981).…”

Uric acid excretion and surgery.

“…The initial study was carried out in a group of three men and three women each of whom was undergoing the operation of selective vagotomy for chronic peptic ulceration (Burge and Frohn, 1969). Further clinical details of this group are set out in Table I, Cases 1-6.…”

Surgical Research Society

“…A reliable peroperative test of vagal section would reduce the incidence of recurrent ulceration after vagotomy. The Burge test (Burge and Frohn, 1969) is non-reproducible and unquantifiable, and the Grassi (1971) test, although more accurate in localizing acid-secreting mucosa, is time-consuming and risks peritoneal contamination. We have designed an inexpensive, speedy, quantifiable and reproducible test based on Burge's stimulation principle.…”