Early results of simplified proximal high selective transgastric vagotomy without drainage

Abstract

The technique of preservation of the antral vagal nerve supply of the stomach and division of the transverse gastric branches of the nerves of Latarjet remains unchanged. However, if the evidence suggests that there is an ascending branch of the vagus crow's foot extending to the gastric body, this branch should be transmurally divided at the level in which it reaches the acid secreting boundary. Transection of the hiatal cardioesophageal vagus nerve branches as well as of the nerve branches accompanying the arteries entering the fundus of the stomach is replaced by transgastric intramural transection and excision of all nerve fibers entering the fundus of the stomach. Six months to one year results after the application of proximal transgastric vagotomy in 51 patients with uncomplicated duodenal ulcers have shown no mortality and insignificant morbidity. The previous ulcer symptoms disappeared. Dumping syndrome, recurrent ulcer and other signigicant complications have not been observed.