Effects of highly selective vagotomy and additional procedures on gastric emptying in patients with obstructing duodenal ulcer

Wang, Chia‐Siu; Tzen, Kai-Yuan; Chen, Pang-Chi; Chen, Miin‐Fu

doi:10.1007/bf00348203

Cited by 7 publications

(4 citation statements)

References 31 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…[28][29][30][31][32][33][34] In contrast, studies have shown that parietal cell vagotomy or highly selective vagotomy during Nissen fundoplication is not associated with increased side effects, morbidity, or mortality. [35][36][37] It may be that the difference in outcome may be attributed to the underlying disease rather than to the vagotomy.…”

Section: The Short Esophagusmentioning

confidence: 97%

Vagotomy During Hiatal Hernia Repair: A Benign Esophageal Lengthening Procedure

Oelschlager

Yamamoto

Woltman

et al. 2008

Journal of Gastrointestinal Surgery

View full text Add to dashboard Cite

Introduction This study describes the use of vagotomy in patients during complex laparoscopic esophageal surgery (e.g., reoperative antireflux surgery (rLARS) or paraesophageal hernia (PEH) repair) when, after extensive esophageal mobilization, the gastroesophageal junction cannot be made to reach the abdomen without tension. In doing so, we hope to understand the risk incurred by vagus nerve division in this setting in order to evaluate its role in managing the short esophagus.Methods One hundred and sixty-six patients underwent rLARS or PEH repair between 1/1998 and 6/2003 at our institution. Clinical data was obtained from a prospectively maintained database and systematic patient questionnaires administered for this study. Follow-up was available for 102 (61%) of these patients, at a median of 19 months (range 6-69 months). Results Fifty-two patients underwent rLARS while 50 patients underwent PEH repair. Thirty patients had a vagotomy during the course of their operation (Vag Group; 20 anterior, six posterior, four bilateral), 13 in the rLARS group (25%), and 17 in the PEH group (34%). The primary presenting symptoms for rLARS and PEH repair patients were improved in 89% in the Vag Group and 91% in the No Vag Group. Similarly, there was no difference in the severity of abdominal pain, bloating, diarrhea, or early satiety between the Vag and No Vag groups at follow-up. No patient required a subsequent operation for gastric outlet obstruction. Conclusions Vagotomy during rLARS and PEH repair does not lead to a higher rate delayed gastric emptying, dumping syndrome, or other side effects. Thus, we propose vagotomy to be a legitimate alternative to Collis gastroplasty when extensive mobilization of the esophagus fails to provide adequate esophageal length.

show abstract

Section: The Short Esophagusmentioning

confidence: 97%

Vagotomy During Hiatal Hernia Repair: A Benign Esophageal Lengthening Procedure

Oelschlager

Yamamoto

Woltman

et al. 2008

Journal of Gastrointestinal Surgery

View full text Add to dashboard Cite

show abstract

“…Medical management of peptic ulcer has limited its complications and decreased the need for surgical treatment. Surgery (either by resective or non-resective gastric procedures) may be the treatment of choice in selected patients with complications of peptic ulcer 2 3…”

Section: Discussionmentioning

confidence: 99%

Please treat me with metoclopramide

Moutzouris

Manetas²,

Mountantonakis³

et al. 2007

Emergency Medicine Journal

View full text Add to dashboard Cite

Severe peptic ulcer resulting in hypertrophic pyloric stenosis is a rare clinical problem nowadays. Symptoms include vomiting, nausea, early satiety, weight loss, epigastric pain especially after eating. The physical examination may not be helpful because the pyloric mass is difficult to palpate. We report a case of a 43-year-old man who presented to the emergency department complaining of vomiting. He asked for metoclopramide, refusing initially further investigation and gastrointestinal endoscopy. Finally, he agreed to undergo a barium meal examination, which showed severe pyloric stenosis. He underwent vagotomy and enteroanastomosis. The biopsy of the removed segment of the stomach did not show any malignant changes.

show abstract

“…The gastric emptying study was performed using a method we have previously described and validated 5 . After overnight fasting, a solid‐phase gastric emptying study was performed after subjects consumed a standard test meal with two 99m Tc S‐colloid (54 MBq) radiolabeled eggs, two slices of white bread, and 300 mL of diluted orange juice.…”

Section: Methodsmentioning

confidence: 99%