Hemigastrectomy Combined with Resection of the Vagus Nerves

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Abstract
MANY surgeons have come to consider subtotal gastrectomy the procedure of choice for duodenal ulcers demanding elective operative therapy. The results of this maneuver are gratifying in most cases. There are, however, two primary causes of dissatisfaction, which although relatively infrequent are sufficiently serious to justify continued efforts to reduce their incidence. One is the development of gastrojejunal ulceration, which is reported to occur in approximately 2 to 5 per cent of cases in most large series.1 , 2 The other is the appearance of certain postoperative sequelae such as intolerance for certain foods, the dumping syndrome, the need for eating frequent . . .