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Abstract
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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References
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Article info
Publication history
Accepted:
January 25,
1973
Identification
Copyright
© 1974 Published by Elsevier Inc.
