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British Journal of Surgery
Article . 1971 . Peer-reviewed
License: OUP Standard Publication Reuse
Data sources: Crossref
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Effect of antroneurolysis on gastric secretion in dogs with total gastric fistula

Authors: R, Hall; C S, Humphrey; A R, Wilkinson; D, Johnston;

Effect of antroneurolysis on gastric secretion in dogs with total gastric fistula

Abstract

Abstract The operation of antroneurolysis is performed by circumferential sharp dissection in the submucosal plane of the entire gastric antrum, which severs the vagal nerve-supply to the antral mucosa. It might thus be regarded as a conservative variant of antrectomy, the purpose of which is to diminish gastrin release without disturbing antral peristalsis or the mechanism of the pylorus. Its possible value as an adjunct to highly selective vagotomy in man is evaluated in this study in the dog. The antroneurolysed antrum was left in continuity with the remainder of the stomach whose vagal nerve-supply remained intact. Gastric secretion was collected via a cannula or fistula draining the whole stomach. Outputs of acid and pepsin in response to insulin, pentagastrin, meat extract, and acetylcholine were found to be undiminished after antroneurolysis. It is concluded that antroneurolysis has no place at present in clinical gastric surgery.

Keywords

Gastric Fistula, Gastric Juice, Meat, Stomach, Vagotomy, Acetylcholine, Pepsin A, Stimulation, Chemical, Dogs, Gastric Mucosa, Gastrins, Animals, Insulin, Gastrointestinal Motility, Peptides, Secretory Rate, Pylorus

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    influence
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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
8
Average
Top 10%
Top 10%
hybrid