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J Clin Pathol. 1981 September; 34(9): 963–964.
PMCID: PMC494203

Pancreatic exocrine function after truncal and highly selective vagotomy.


We have measured plasma glucose and immunoreactive trypsin concentrations and serum pancreatic amylase activities in single blood samples following truncal vagotomy (TV) in 13 patients and highly selective vagotomy (HSV) in 14 patients. Our results show that an increased incidence of exocrine pancreatic insufficiency occurs postoperatively regardless of the type of vagotomy. Glucose concentrations were significantly higher after TV, suggesting that HSV is preferable for patients at risk of or suffering from diabetes mellitus.

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Selected References

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  • Russell RC, Thomson JP, Bloom SR. The effect of truncal and selective vagotomy on the release of pancreatic glucagon, insulin and enteroglucagon. Br J Surg. 1974 Oct;61(10):821–824. [PubMed]
  • Stern AI, Hansky J, Korman MG, Coupland G, Waugh J. Pancreatic polypeptide. Release following surgery for duodenal ulcer disease. Dig Dis Sci. 1980 Jul;25(7):485–488. [PubMed]
  • McKelvey ST, Toner D, Connell AM, Kennedy TL. Coeliac and hepatic nerve function following selective vagotomy. Br J Surg. 1973 Mar;60(3):219–221. [PubMed]
  • Foo Y, Rosalki SB, Ramdial L, Mikhailidis D, Dandona P. Serum isoamylase activities in diabetes mellitus. J Clin Pathol. 1980 Nov;33(11):1102–1105. [PMC free article] [PubMed]
  • Dandona P, Elias E, Beckett AG. Serum trypsin concentrations in diabetes mellitus. Br Med J. 1978 Oct 21;2(6145):1125–1125. [PMC free article] [PubMed]
  • Gutierrez LV, Kocak N, Cox AG. Alimentary transit and supersensitivity after vagotomy in the rat. Gut. 1971 Aug;12(8):625–628. [PMC free article] [PubMed]

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