Vagotomy: Latest Advances with Special Reference to Gastric and Duodenal Ulcers Disease

Front Matter....Pages I-XII
Historical Outline....Pages 1-5
Functional Anatomy of the Vagus Nerves in the Upper Abdomen....Pages 6-14
Morphology of Gastric Parietal and Zymogen Cells....Pages 15-18
The Gastrin-Producing Cell....Pages 19-23
The Effect of Selective Proximal Vagotomy on Parietal Cells in Man....Pages 24-32
Changes in the Pyloric-Antral Nervous Tissue Accompanying Gastric and Duodenal Ulcers....Pages 33-37
Gastric Acid Secretory Mechanisms....Pages 38-44
Effects of Vagotomy on Gastric Acid Secretion....Pages 45-52
Gastro-intestinal Hormones — their Release and Influence on Secretion and Motility....Pages 53-58
The Effect of Vagotomy on Circulating Gastrin....Pages 59-64
Effect of Proximal Gastric Resection (Fundectomy) on Gastric Secretion and Motility....Pages 65-67
Effect of SPV on Gastric Secretion in Dogs in Insulin Tests and Sham Feeding....Pages 68-71
Effect of Pyloroplasty on Gastric Secretion after SPV and SV in Dogs....Pages 72-74
Effect of Exogenous Gastrin on the SP-Vagotomized Stomach in Man....Pages 75-76
Significance of a Feeding Test with Check of Serum-Gastrin in Man and Dog....Pages 77-86
The Effect of SPV and Pyloroplasty on Pepsin Secretion in Man....Pages 87-88
Gastric Secretion and Motility after Highly Selective Sympathectomy....Pages 89-93
Advances in Clinical and Experimental Studies on Vagotomy in Japan....Pages 94-94
Indispensability of Vagal-Antral Rami for Preserving Gastric Motor Function after Vagotomy....Pages 94-98
Effects of Various Types of Vagotomy with and without Pyloroplasty on Gastric Acid Secretion in the Dog....Pages 99-102
Effect of Selective Proximal Vagotomy on Gastric Motility and VB 12 Absorption in Duodenal Ulcer Patients (Preliminary Report)....Pages 103-105
Functional Classification of Vagal Afferent Discharges in the Stomach of the Dog....Pages 106-108
Acute and Long-term Effects of Vagotomy on Gastric Mucosal Blood Flow....Pages 109-112
Vagotomy and Cholelithiasis....Pages 113-115
Regeneration of the Vagus Nerve....Pages 116-117
Stress Ulcer and Unilateral Truncal Vagotomy....Pages 118-121
Etiology of the Stress Ulcer....Pages 122-123
Model of the Regulation of Secretion and Motility of the Stomach as a Feedback Circuit and its Practical Application....Pages 124-126
Clinical Aspects of Vagotomy....Pages 127-132
Pre- and Postoperative Secretory Tests....Pages 133-146
X-Ray Checks after Selective Proximal Vagotomy Combined with Various Drainage Operations....Pages 147-159
Gastric Emptying after Selective Proximal Vagotomy....Pages 160-162
Special Indications for Operation and its Progress through SPV....Pages 163-166
Operating Technique of SPV and Pyloroplasty....Pages 167-177
Special Technique of Pyloroplasty (with Special Choice of Method)....Pages 178-188
Clinical Application of the Method of Operations Based on Form and Function....Pages 189-192
Clinical Results....Pages 193-196
SPV and Pyloroplasty in Ulcer Disease....Pages 198-205
Vagotomy in Ulcer Complications....Pages 206-219
SPV in Hiatal Hernia....Pages 220-221
SPV in Cardiospasm....Pages 222-223
Postoperative Treatment and its Complications....Pages 224-226
Critique and Summary....Pages 227-232
Back Matter....Pages 233-244