Vagotomy for Duodenal Ulcer

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Abstract
IF one could accept completely the time-honored physiologic concepts of gastric secretion and the equally respected "acid-pepsin" theory of the etiology of peptic ulcer, one would be in a position to eradicate duodenal ulcer by surgical measures. One would control the cephalic phase of secretion very neatly by severing the vagus nerves and manage the digestive or humoral phase of secretion by removing the antrum and pyloric ring. The intestinal phase and any other gastric-stimulating factor would then be controlled by removal of the body and fundus of the stomach, and the upper small bowel. Possibly, adrenalectomy would be advisable . . .