Proximal gastric vagotomy, fundoplication, and lesser-curve necrosis.

  title={Proximal gastric vagotomy, fundoplication, and lesser-curve necrosis.},
  author={Thomas Lyle Kennedy and Paul Magill and George W. Johnston and Thomas L Parks},
  journal={British medical journal},
  volume={1 6176},
Out of 400 patients who underwent proximal gastric vagotomy (PGV), three developed lesser-curve necrosis (LCN) leading to perforation within the first seven days. In each case diagnosis was delayed but the patient survived after a second operation. In each an associated Nissen fundoplication had been carried out; we used the combined operation in only 33 patients. Delayed LCN occurred in a patient who had undergone splenectomy at the time of the PGV and in a fifth patient treated elsewhere who… CONTINUE READING

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