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Treatment of gastric ulcer by highly selective vagotomy without a drainage procedure: An interim report

Fourteen patients with gastric ulcer alone and 5 patients with combined gastric and duodenal ulceration‐ have been treated by highly selective (parietal‐cell) vagotomy without a drainage procedure (H.S.V.) the past 3 years. Before operation no evidence of gastric stasis was found, clinically, radiologically, or during tests of gastric secretion. Spontaneous acid out was low. Acid output in response to a test meal of meat extract was also found to be low. There no evidence that in the patients with gastric ulcer alone the ulcer was due to pyloric channel disease with excessive release of gastrin by the antrum.