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  • Title: Resection of terminal vagal branches to parietal cell mass in the treatment of duodenal ulcer.
    Author: Sun JM, Zhang P, Shang H.
    Journal: Ann Surg; 1984 Nov; 200(5):587-9. PubMed ID: 6486908.
    Abstract:
    In order to completely denervate the parietal cell mass and to prevent the undesirable side effects of highly selective vagotomy, the authors devised a new and simpler modified operative procedure. First, the anterior and posterior leaves of the lesser omentum are divided from the stomach at their attachment 6 cm proximal to the pylorus to the level 2 to 2.5 cm below the esophagogastric junction. Second, a circular seromuscular incision is made at the anterior and posterior wall of the stomach from the lesser curve 2 to 2.5 cm below the cardia to the highest short gastric artery at the greater curve. Forty cases followed for an average period of 21.8 months with satisfactory postoperative results reported.
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