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The completeness of vagotomy was studied during operation in 769 patients by means of the Burge, Lee, and Grassi tests and checked three months postoperatively by Hollander's test. The tests were evaluated and their limitations discussed. Use of the Grassi test reduced the incidence of incomplete vagotomies from 10 to two percent. In 98 percent of these patients there was still no acid response in control studies made two years later. On the basis of these results, only total absence of an acid response to Hollander's test should be regarded as the index of completeness of a vagotomy; an acid response even if minimal is, in the author's opinion, attributable to incompleteness of the vagal denervation of the stomach.
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- Laboratory criteria for completeness of vagotomy.Am. J. Dig. Dis. 1962; 7: 1071
- Reevaluation of the Hollander test.Ann. N. Y. Acad. Sci. 1967; 46: 915
- Method of testing for complete nerve section during vagotomy.Br. Med. J. 1958; 1: 615
- Vagotomy.Edward Arnold, Publisher, London1964
- The augmented histamine test with special reference to achloridrya.Gut. 1960; 1: 326
- Jones F.A. Modern trends in gastroenterology. Butterworth & Co., Ltd, London1964 (Series 2)
- Studio della secrezione gastrica nella malattia ulcerosa in fase operatoria.Chir. Gastroenterol. 1969; 3: 69
- New test for complete nerve section during vagotomy.Br. J. Surg. 1971; 58: 187
- The results and comment on the intraoperative study of gastric secretion in peptic ulcer.Surgery in Italy. 1971; 1: 103
- Variations in secretion during gastric resection for duodenal ulcer.Chir. Gastroenterol. 1971; 5: 247
- Completeness of vagotomy and gastric secretion stimulated by pentagastrin during operation for duodenal ulcer.Chir. Gastroenterol. 1971; 5: 38
- Intraoperative relation of gastric acidity and complete vagotomy.Surg. Gynecol. Obstet. 1972; 134: 35
- Laboratory procedures in the study of vagotomy (with particular reference to the insulin test).Gastroenterology. 1948; 11: 419
- Intraoperative studies of the stomach (leucomethilene blue staining of the vagus, intragastric determinations of pH, and Congo red staining of the mucosa).Chir. Gastroenterol. 1971; 5: 303
- A selective staining to detect the vagus nerve in operation of vagotomy.Br. J. Surg. 1960; 56: 10
- Sulle modalità tecniche del test di Grassi per la completa enervazione vagale gastrica.Chir. Gastroenterol. 1970; 4: 417
- Our concept of vagotomy and results obtained (1245 cases).Chir. Gastroenterol. 1971; 5: 2250
- The present position of vagotomy (considerations of 1245 cases).Chir. Gastroenterol. 1972; 6: 189
- Insulin gastric analysis: technique and interpretation.Am. J. Dig. Dis. 1962; 7: 138
Accepted: January 25, 1973
© 1974 Published by Elsevier Inc.