SEGMENTAL GASTRIC RESECTION FOR PEPTIC ULCER

Abstract

The evolution of operations for peptic ulcer is an interesting story. Pyloroplasty, gastrojejunostomy, segmental resection for gastric ulcer, antral excision based on elimination of the Edkins factor in gastric secretion, and extension of partial gastric resection to include 75% to 80% of the stomach has been the order of sequence in the development of plastic and excisional techniques in the surgical management of peptic ulcer. There are several variants of these operative procedures, concerned with variations in the technique of their performance, in consequence of which a tremendous literature has been built up around the theme of the surgical management of ulcer. Incomplete vagotomy, an old operation for ulcer employed especially as a complemental procedure to resection, has been revived by Dragstedt and his associates 1 in the nature of complete interruption of vagal influence to the gastrointestinal tract. They, too, however, have found it convenient to add to complete