Vagotomy in the Treatment of Peptic Ulcer

Abstract

Although vagotomy has a very efficient action on peptic ulcer of the stomach or duodenum, I do not use it as a routine procedure in normal cases. I prefer gastrectomies which give me very satisfactory results. I do vagotomy in some selected cases: (1) recurrent ulcer after a previous operation, (2) duodenal ulcer, very far to the right, when removal could be dangerous for the common duct. Either procedure is followed by a gastroenterostomy.