GASTROENTEROLOGY

Abstract
Probably the most interesting question in the minds of gastroenterologists today is whether double vagotomy well above the cardia, with or without gastroenterostomy or partial gastric resection, constitutes the long looked-for perfect operation for peptic ulcer. Whatever happens, the medical profession will long owe Lester Dragstedt a debt of gratitude for having given this operation a good trial. This required courage, because the results of cutting both vagus nerves in animals and one vagus nerve in man had not been encouraging to those who wished to use this procedure in the treatment of peptic ulcer. In the last three years some two hundred double vagotomies have been performed, and in almost all cases so far reported the results have been encouraging. Usually the pain and discomfort have promptly stopped, and the ulcer has apparently healed. I have heard of only 1 case in which the pain continued unchanged, and it

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