A simplified procedure for preparing innervated gastric pouches.

Conventional innervated gastric pouches can be technically difficult to construct, and fistula formation between the pouch and the main stomach cavity is a common problem. This paper describes the method of construction of a small pouch on the lesser curvature (LC pouch) which we have found to be relatively free of these difficulties. Compared with the Pavlov-type pouch, this pouch gives a stronger acid secretory response to a meat meal. Furthermore, the acid secretory response was prompt to insulin hypoglycemia and sham feeding.