{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,3]],"date-time":"2025-11-03T13:21:03Z","timestamp":1762176063658},"reference-count":21,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[1993,6,1]],"date-time":"1993-06-01T00:00:00Z","timestamp":738892800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[1993,6,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>The completeness of vagotomy following proximal gastric vagotomy or anterior seromyotomy with posterior truncal vagotomy was assessed prospectively in 48 patients using the intraoperative congo red test. Pentagastrin (6 \u03bcg\/kg) was given subcutaneously before the assessment. An endoscope was passed into the stomach and 180 ml congo red solution washed over the gastric mucosa. Continuing acid production was indicated by the appearance of a black colour (pH &amp;lt; 3) 2 min after introduction of the dye. A grading system was adopted where grades I and II showed little black discoloration and grades III and IV showed increasing areas of discoloration indicating that further denervation was required. All 20 patients undergoing anterior seromyotomy with posterior vagotomy were classified as grade I. Fifteen of an initial 23 patients receiving proximal gastric vagotomy were grade III or IV. Following division of either the right gastroepiploic nerve or the posterior vagal trunk, 22 patients improved to grade I (16) or II (six). In the subsequent five proximal vagotomies, modification of the dissection produced grade I results. Anterior seromyotomy with posterior truncal vagotomy gave consistenly complete vagotomy. The congo red test highlighted major differences in the adequacy of vagotomy achieved using various dissection techniques during proximal gastric vagotomy. The test is a useful, reproducible and simple intraoperative method for assessing the completeness of denervation.<\/jats:p>","DOI":"10.1002\/bjs.1800800625","type":"journal-article","created":{"date-parts":[[2007,3,3]],"date-time":"2007-03-03T18:57:42Z","timestamp":1172948262000},"page":"737-739","source":"Crossref","is-referenced-by-count":6,"title":["Proximal gastric vagotomy and anterior seromyotomy with posterior truncal vagotomy assessed by the endoscopic congo red test"],"prefix":"10.1093","volume":"80","author":[{"given":"E M","family":"Chisholm","sequence":"first","affiliation":[{"name":"Department of Surgery, Prince of Wales Hospital, Chinese University of Hong Kong , Shatin, New Territories,","place":["Hong Kong"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S A","family":"Raimes","sequence":"additional","affiliation":[{"name":"Department of Surgery, Prince of Wales Hospital, Chinese University of Hong Kong , Shatin, New Territories,","place":["Hong Kong"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H T","family":"Leong","sequence":"additional","affiliation":[{"name":"Department of Surgery, Prince of Wales Hospital, Chinese University of Hong Kong , Shatin, New Territories,","place":["Hong Kong"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S C S","family":"Chung","sequence":"additional","affiliation":[{"name":"Department of Surgery, Prince of Wales Hospital, Chinese University of Hong Kong , Shatin, New Territories,","place":["Hong Kong"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A K C","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Surgery, Prince of Wales Hospital, Chinese University of Hong Kong , Shatin, New Territories,","place":["Hong Kong"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[1993,6,1]]},"reference":[{"key":"2024092812355244000_bib1","doi-asserted-by":"crossref","first-page":"545","DOI":"10.1136\/bmj.4.5996.545","article-title":"Operative mortality and postoperative morbidity of highly selective vagotomy","volume":"iv","author":"Johnston","year":"1975","journal-title":"BMJ"},{"key":"2024092812355244000_bib2","doi-asserted-by":"crossref","first-page":"1056","DOI":"10.1002\/bjs.1800741132","article-title":"Prospective 14- to 18-year follow-up study after parietal cell vagotomy","volume":"74","author":"Hoffman","year":"1987","journal-title":"Br J Surg"},{"key":"2024092812355244000_bib3","doi-asserted-by":"crossref","first-page":"846","DOI":"10.1016\/S0140-6736(82)90811-X","article-title":"Anterior lesser curve seromyotomy and posterior truncal vagotomy in the treatment of chronic duodenal ulcer","volume":"ii","author":"Taylor","year":"1982","journal-title":"Lancet"},{"key":"2024092812355244000_bib4","doi-asserted-by":"crossref","first-page":"615","DOI":"10.1136\/bmj.1.5071.615","article-title":"Method for testing for complete nerve section during vagotomy","volume":"i","author":"Burge","year":"1958","journal-title":"BMJ"},{"key":"2024092812355244000_bib5","doi-asserted-by":"crossref","first-page":"187","DOI":"10.1002\/bjs.1800580309","article-title":"A new test for complete nerve section during vagotomy","volume":"58","author":"Grassi","year":"1971","journal-title":"Br J Surg"},{"key":"2024092812355244000_bib6","doi-asserted-by":"crossref","first-page":"249","DOI":"10.1016\/0002-9610(87)90596-4","article-title":"Endoscopic congo red test during proximal gastric vagotomy","volume":"153","author":"Donahue","year":"1987","journal-title":"Am J Surg"},{"key":"2024092812355244000_bib7","doi-asserted-by":"crossref","first-page":"572","DOI":"10.1097\/00000658-198705000-00017","article-title":"Should it be parietal cell vagotomy or selective vagotomy\u2013antrectomy for treatment of duodenal ulcer? 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A prospective randomised trial","volume":"70","author":"Blackett","year":"1983","journal-title":"Br J Surg"},{"key":"2024092812355244000_bib12","doi-asserted-by":"crossref","first-page":"427","DOI":"10.1016\/S0016-5107(87)71680-0","article-title":"Can the use of an endoscopic congo red test decrease the incidence of incomplete proximal gastric vagotomy?","volume":"23","author":"Donahue","year":"1987","journal-title":"Gastrointest Endosc"},{"key":"2024092812355244000_bib13","first-page":"33","article-title":"Extended selective proximal vagotomy: observations on a variant of technique","volume":"10","author":"Rosati","year":"1976","journal-title":"Chirurgica Gastroenterologica"},{"key":"2024092812355244000_bib14","doi-asserted-by":"crossref","first-page":"604","DOI":"10.1007\/BF01655336","article-title":"Denervation of the greater curvature in proximal gastric vagotomy","volume":"7","author":"Martinez-Ramos","year":"1983","journal-title":"World J Surg"},{"key":"2024092812355244000_bib15","doi-asserted-by":"crossref","first-page":"702","DOI":"10.1002\/bjs.1800651010","article-title":"Anterior highly selective vagotomy with posterior truncal vagotomy: a simple technique for denervating the parietal cell mass","volume":"65","author":"Hill","year":"1978","journal-title":"Br J Surg"},{"key":"2024092812355244000_bib16","doi-asserted-by":"crossref","first-page":"289","DOI":"10.1002\/bjs.1800570414","article-title":"Highly selective vagotomy without a drainage procedure in the treatment of duodenal ulcer","volume":"57","author":"Johnston","year":"1970","journal-title":"Br J Surg"},{"key":"2024092812355244000_bib17","doi-asserted-by":"crossref","first-page":"337","DOI":"10.1002\/bjs.1800610502","article-title":"Technique for highly selective vagotomy (parietal cell or proximal gastric) for duodenal ulcer","volume":"61","author":"Goligher","year":"1974","journal-title":"Br J Surg"},{"key":"2024092812355244000_bib18","doi-asserted-by":"crossref","DOI":"10.1515\/9783112419601","volume-title":"A Colour Atlas of Seromyotomy for Chronic Duodenal Ulcer","author":"Taylor","year":"1984"},{"key":"2024092812355244000_bib19","doi-asserted-by":"crossref","first-page":"971","DOI":"10.1002\/bjs.1800741103","article-title":"Parietal cell vagotomy: long-term follow-up studies","volume":"74","author":"Taylor","year":"1987","journal-title":"Br J Surg"},{"key":"2024092812355244000_bib20","doi-asserted-by":"crossref","first-page":"121","DOI":"10.1002\/bjs.1800750211","article-title":"Anterior lesser curve seromyotomy with posterior vagotomy versus proximal gastric vagotomy","volume":"75","author":"Oostvogel","year":"1988","journal-title":"Br J Surg"},{"key":"2024092812355244000_bib21","first-page":"145","article-title":"Modified sham feeding and the congo red test in determining the completeness of vagotomy","volume":"3","author":"Ibrahim","year":"1989","journal-title":"Indian J Gastroenterol"}],"container-title":["Journal of British Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fbjs.1800800625","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/academic.oup.com\/bjs\/article-pdf\/80\/6\/737\/59400251\/bjs1800800625.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/bjs\/article-pdf\/80\/6\/737\/59400251\/bjs1800800625.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,9,28]],"date-time":"2024-09-28T12:36:03Z","timestamp":1727526963000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/bjs\/article\/80\/6\/737\/6175687"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1993,6,1]]},"references-count":21,"journal-issue":{"issue":"6","published-online":{"date-parts":[[1993,6,1]]},"published-print":{"date-parts":[[1993,6,1]]}},"URL":"https:\/\/doi.org\/10.1002\/bjs.1800800625","relation":{},"ISSN":["0007-1323","1365-2168"],"issn-type":[{"type":"print","value":"0007-1323"},{"type":"electronic","value":"1365-2168"}],"subject":[],"published-other":{"date-parts":[[1993,6]]},"published":{"date-parts":[[1993,6,1]]}}}