Lesser curve necrosis following proximal cell vagotomy for gastric ulcer : a case report
CITATION: Du Toit, D. D. & Kemp, C. B. 1979. Lesser curve necrosis following proximal cell vagotomy for gastric ulcer : a case report. South African Medical Journal, 55:98-100.
The original publication is available at http://www.samj.org.za
A case of avascular necrosis of the lesser curve of the stomach following a highly selective vagotomy (HSV) for a gastric ulcer is reported. It is fortunately rare, but is a frightening complication. The necrosis, which is presumably ischaemic in origin, is caused by total devascularization of the lesser curvature of the stomach. The complication is usually diagnosed late and has a considerable mortality.