Selective Nerve Section in the Prevention of Post-Vagotomy Diarrhœa

Burge, Harold; Hutchison, John; Longland, C. J.; McLennan, Ian S.; Miln, D.C.; Rudick, J; Tompkin, A. M. B.

doi:10.1016/s0140-6736(64)91329-7

Cited by 32 publications

(3 citation statements)

References 6 publications

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“…The greater gallbladder volume found in our patients may be a consequence of dam age, during the partial gastrectomy, to the vagal nerve fibers that pass along the lesser curvature to the gallbladder [12]. The inter ruption of the vagus nerve may in fact dilate the gallbladder [13], an effect also noted after atropine administration [14].…”

Section: Discussionmentioning

confidence: 56%

Gallbladder Emptying in Duodenal Ulcer Patients Having Undergone Billroth II Gastrectomy

et al. 1988

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There is an increased incidence of gallstones in patients who have undergone Billroth II (BII) gastrectomy for duodenal ulcer. To explore the mechanisms underlying this, we examined changes in gallbladder volume induced by a meal and by intravenous administration of cerulein, in 13 BII patients and in 13 normal subjects. Gallbladder volume was measured by real-time ultrasonography. In the fasting state, gallbladder volumes were significantly larger in BII patients than in controls. The percent decrease in gallbladder volume after the meal was significantly less and maximum volume reduction observed throughout the study occurred sooner in BII patients than in controls. In contrast, the kinetics and magnitude of the reduction in gallbladder volume induced by cerulein were similar in the two groups. These findings suggest that the altered gallbladder response to a meal is due to impaired postprandial stimulation of gallbladder following BII gastrojejunostomy.

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Section: Discussionmentioning

confidence: 56%

Gallbladder Emptying in Duodenal Ulcer Patients Having Undergone Billroth II Gastrectomy

et al. 1988

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“…98 Burge recognised the advantages of avoiding a drainage procedure and published an account of selective vagotomy without drainage. 99 He believed that bilateral selective vagotomy would preserve the innervation to the prepyloric stomach. His failure to appreciate the anatomy of the nerve of Latarjet resulted in its division with consequent gastric stasis.…”

Section: Highly Selective Vagotomy (Parietal Cell Vagotomy)mentioning

confidence: 99%

Peptic Ulcer Surgery - An Obituary (Part Two)

Macintyre

2000

Journal of the Royal College of Physicians of Edinburgh

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“…In 1947 and 1948 Jackson and Franksson performed selective vagotomies without a drainage procedure but abandoned the operation because of gastric stasis [6]. During the 1960s, Burge and Griffith and their coworkers tried to revive the procedure; Burge et al combined it with pyloroplasty [21] and Griffith et al with hemigastrectomy and later also with pyloroplasty (stimulated by reports of diarrhea following truncal vagotomy) [22]. The more extensive dissection with increased mortality (compared to that seen with truncal vagotomy) and the continued need for a drainage procedure seemed to outweigh the slight benefit, and the operation did not gain much popularity.…”

Section: Vagotomymentioning

confidence: 99%

From Billroth to PCV: A Century of Gastric Surgery

Weil

Buchberger²

1999

World j. surg.

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The development of gastric surgery is one of the most fascinating chapters in surgical history. The first operations on the stomach were done during the second half of the nineteenth century; at first they were minor procedures but then gradually became more daring, major procedures-albeit with considerable mortality. The work of Theodor Billroth and his pupils ushered in the era of major resectional therapy, first for cancer and later also for ulcer disease. Complications due to the lack of understanding gastric physiology plagued the early days of ulcer surgery, and a variety of modifications tried to remedy these problems. Although the role of the vagus was known through Pavlov's studies, its practical application had to wait until well into the twentieth century. For several decades, resection and vagotomy, separately or combined, were practiced until more sophisticated types of vagotomy began to dominate and replace resection in the surgical treatment of ulcer disease. Resection remained the treatment for cancer. We thus see over a period of 100 years, owing to the increased understanding of physiologic factors, a gradual shift from major resections toward smaller, better directed procedures. The pioneering work of Billroth and his generation, however, must not be forgotten.

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Selective Nerve Section in the Prevention of Post-Vagotomy Diarrhœa

Cited by 32 publications

References 6 publications

Gallbladder Emptying in Duodenal Ulcer Patients Having Undergone Billroth II Gastrectomy

Gallbladder Emptying in Duodenal Ulcer Patients Having Undergone Billroth II Gastrectomy

Peptic Ulcer Surgery - An Obituary (Part Two)

From Billroth to PCV: A Century of Gastric Surgery

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