Abstract
An investigation that compares selective vagotomy and pyloroplasty with truncal vagotomy and pyloroplasty in dogs with massive bowel resection is reported. The results suggest the following in animals with massive bowel resection: 1. Selective and truncal vagotomy and pyloroplasty increase survival and decrease the per cent of daily weight loss when compared with values in the control group. 2. There is little or no difference in survival after selective vagotomy compared with that after truncal vagotomy. 3. Vagotomy and pyloroplasty increase absorption of nitrogen and fat and lengthen transit time when compared with values in control animals that also had massive bowel resection. 4. Vagotomy and pyloroplasty prolong survival and decrease weight loss but do not create an anabolic state and certainly do not represent the entire solution for the patient with massive bowel resection. 5. The adjunctive procedure is probably best delayed until after a period of observation with good medical management has been determined to be unsuccessful.
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