0
Get Alert
Please Wait... Processing your request... Please Wait.
You must sign in to sign-up for alerts.

Please confirm that your email address is correct, so you can successfully receive this alert.

Article   |    
VAGOTOMY—FIVE YEARS LATER
WILLIAM M. SHANAHAN
Am J Psychiatry 1955;112:140-143.
text A A A
PDF of the full text article.
Abstract

On an average of 5 years after complete vagotomy, 24 of 25 peptic ulcer patients had no physical recurrence; 6, or 64%, of all men, achieved an excellent functional result with improved vigor, amiability, and total adjustment. No new psychiatric morbidity of any type has appeared in these patients.Eight, or 32%, 3 of whom were women, while anatomically cured, are dissatisfied with vagotomy, maladjusted, and incapacitated by hypochondriasis, other psychosomatic disorder, or working under duress.Study indicates that the patient who will probably get a good functional result from vagotomy can be psychiatrically identified prior to surgery. Suggested criteria for the identification of those who may get a poor functional result are also presented. This does not mean that these cases should not be operated upon if the accomplishment of an anatomical result is deemed of sufficient importance.In addition to the individuals who accept their dependency and those who present reaction formation, there would appear to be a third group, namely, those who are independent at work and dependent at home.In peptic ulcer patients with satisfactory reaction formation, it seems that some characteristics previously considered a part of the patient's personality are really pathoneurotic reactions to frustration of neurotic equilibrium and that they will vanish with successful vagotomy.Intensive study of individual cases of functional success and failure after vagotomy will amplify our understanding of the psychodynamics involved and improve our ability to assist the surgeon in selecting cases.

Abstract Teaser
Figures in this Article

Your Session has timed out. Please sign back in to continue.
Sign In Your Session has timed out. Please sign back in to continue.
Sign In to Access Full Content
 
Username
Password
Sign in via Athens (What is this?)
Athens is a service for single sign-on which enables access to all of an institution's subscriptions on- or off-site.
Not a subscriber?

Subscribe Now/Learn More

PsychiatryOnline subscription options offer access to the DSM-5 library, books, journals, CME, and patient resources. This all-in-one virtual library provides psychiatrists and mental health professionals with key resources for diagnosis, treatment, research, and professional development.

Need more help? PsychiatryOnline Customer Service may be reached by emailing PsychiatryOnline@psych.org or by calling 800-368-5777 (in the U.S.) or 703-907-7322 (outside the U.S.).

+

References

+
+

CME Activity

There is currently no quiz available for this resource. Please click here to go to the CME page to find another.
Submit a Comments
Please read the other comments before you post yours. Contributors must reveal any conflict of interest.
Comments are moderated and will appear on the site at the discertion of APA editorial staff.

* = Required Field
(if multiple authors, separate names by comma)
Example: John Doe



Web of Science® Times Cited: 1

Related Content
Articles
Books
Gabbard's Treatments of Psychiatric Disorders, 4th Edition > Chapter 55.  >
The American Psychiatric Publishing Textbook of Psychiatry, 5th Edition > Chapter 12.  >
Textbook of Traumatic Brain Injury, 2nd Edition > Chapter 25.  >
Textbook of Psychotherapeutic Treatments > Chapter 3.  >
The American Psychiatric Publishing Textbook of Substance Abuse Treatment, 4th Edition > Chapter 17.  >
Topic Collections
Psychiatric News