Transdiaphragmatic Resection of the Vagus Nerves for Peptic Ulcer

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Abstract
DURING the last fifty years, a variety of surgical maneuvers have been developed for the treatment of cases of peptic ulcer ∥ that may be broadly termed as intractable to therapy but are otherwise uncomplicated. According to Allen,1 approximately 20 of every 100 patients suffering from peptic ulcer who present themselves to a physician do poorly under ordinary nonoperative methods of treatment. A sizable fraction of this group develop hemorrhage, perforation or cicatricial obstruction, obviously requiring surgical intervention. The remainder — estimated by Allen and Welch2 as 10 per cent — stand as medical failures or as intermittently sick patients. . . .

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