Vagotomy in the Treatment of Peptic Ulcer

as they enter the abdomen through the oesophageal hiatus of the diaphragm are disposed m two main trunks or bundles, one anterior the other posterior. They may communicate in a plexus round the cesophago-gastric junction. From both bundles fibres pass down the lesser curvature and are distributed mainly to the fundus and body of the stomach. From the anterior bundle a distinct branch, the pylorohepatic nerve, passes to the right at a high level in the gastro-hepatic omentum and transmits fibres which reach the stomach along the right gastric and gastro-epiploic arteries. From the posterior bundle, branches pass to the cceliac ganglion and some of these may reach the stomach along the left gastric artery. Operative Technique.?.After division of the left coronary ligament and retraction of the left lobe of the liver, the vagus bundles are divided as they lie on the terminal part of the oesophagus. Since it is difficult to ensure division of all fibres at this point, in our series in