The paper by McConville and Crookes in this issue of the Journal highlights the contribution of many Ulster surgeons to gastric surgery. The era of Professor George Johnston and Mr Terence Kennedy produced some of the most dramatic changes in surgery of benign upper GI disease. I was a medical student, House Officer, Senior House Officer and then Senior Registrar to these giants of Ulster surgery – these questioning surgeons participated in some of the most important trials of that time in gastric surgery, and assessed scientifically (and independently) the benefits of a logical progression in surgical vagotomy from truncal to selective (with the various drainage procedures) to the highly selective procedure. I would like to take you on a thirty year journey of reflection.
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