Mucosal antrectomy with vagotomy in the treatment of duodenal ulcer

Mucosal Antrectomy in the Treatment of Peptic Ulcer

“…[A description of the technique of mucosal antrectomy in the treatment of duodenal ulcer has been published in the British Journal of Surgery (Kirk 1965). ] Professor R B Welbourn (Postgraduate Medical School, London) said that Mr Kirk had developed a fascinating approach to the concept that vagotomy alone might not reduce gastric secretion sufficiently for the reliable control of duodenal ulcer and that the combination of vagotomy and antrectomy, while providing very adequate control of ulceration, increased the operative risks and the incidence of undesirable sequels.…”

The Size of the Pyloroduodenal Canal: Its Relation to the Cause and Treatment of Peptic Ulcer

“…In 123 patients operation was performed for duodenal or pyloric ulcer requiring pyloroplasty, gastroenterostomy or mucosal antrectomy (Kirk 1965); 10 of these patients also had gastric ulcers or ulcer scars. In 35 patients gastric mucosal resection (Kirk 1966) or Billroth I gastrectomy was performed for gastric ulceration in the absence of detectable duodenal ulceration. In 36 patients an operation was carried out for biliary tract disease, hiatus hernia, carcinoma confined to the proximal stomach, or other disease.…”

“…(1) External examination: The antrum, pylorus, and duodenal bulb were palpated to determine the thickness and elasticity of the walls, and to locate ulcers and scars (Kirk 1968). The adequacy of the lumen was estimated in the usual manner by apposing the index fingers and thumbs of both hands through the pyloric ring.…”

Gastric mucosal resection in the treatment of peptic ulcers: A 1–10 year clinical follow-up

“…The raw areas are folded away so that mucosal continuity is restored. Mucosal excision is accomplished through a gastroduodenotomy which is then closed after the fashion of a Heineke-Mikulicz pyloroplasty (Kirk, 1965(Kirk, , 1966Kirk and Sussman, 1972).…”