The Treatment of Peptic Ulceration by Vagotomy and Finney Pyloroplasty

Gastric ulcer and conservative surgery vagus resection and Finney's pyloroplasty

“…The incidence of a satisfactory result after vagus resection and Finney's pyloroplasty is already recorded at 94 per cent (Hendry, 1961), and further follow-up studies not yet published do not indicate that this is materially altered. T o the protagonists of the theory that the incidence of ulcer cancer is higher than stated in this paper, it is submitted that by the approach and methods described, an accurate diagnosis is highly likely at an early stage of any case, and the necessary radical resection will be undertaken, immediately, if malignant disease is proved to be present.…”

Effects of gastric surgery upon gastric emptying in cases of peptic ulceration.

“…The operation of vagotomy and pyloroplasty is now widely used in the treatment of duodenal ulcer (Burge, 1960a, Weinberg, 1963, gastric ulcer (Hendry, 1961;Farris and Smith, 1963;Burge, 1966) and concomitant gastric and duodenal ulcers (Dragstedt and Woodward, 1963). The reported effects of this operation on gastric emptying vary considerably.…”

Metabolic effects of vagotomy and gastric drainage

“…It was rapidly recognized that, together with vagotomy, a gastric drainage procedure of some type was essential (Dragstedt & Schafer, 1945). In its early years, vagotomy and drainage rapidly gained in popularity on the basis of simplicity and the low operative mortality of 0-1-7% (Everson et al, 1957;Burge & Pick, 1958;Hamilton et al, 1961;Hendry, 1961), together with a low incidence of post gastric surgery sequelae such as dumping and bilious vomiting. Recently the nutritional hazards of partial-gastrectomy have become recognized (Stammers & Williams, 1963) and it is natural therefore that this aspect of vagotomy and drainage should be closely examined.…”