Gall-bladder Complications following Resection of Stomach

Majoor, C.L.H.; Suren, Th. J. J.

doi:10.1136/bmj.2.4513.8

Cited by 35 publications

(19 citation statements)

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“…As noted for GB disease after vagotomy [5,30], these results strongly suggested the influence of our surgery on the incidence of GS and on reducing the usual 2:1 ratio for femalesrmales in GS disease.…”

Section: Discussionmentioning

confidence: 62%

Increased Risk of Gallstones following Curative Gastrectomy for Cancer

et al. 1989

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The incidence of gallstones in patients who had undergone radical gastrectomy for cure of gastric cancer was 4–8 times higher than in the general population. At least two factors seem to be involved in this high incidence: one is complete vagotomy which is inevitable in gastrectomy with lymph node dissection, and the other perioperative hepatic dysfunction. One fourth of these patients with gallstones required cholecystectomy with or without T-tube drainage. The high incidence of gallstones and a rather difficult cholecystectomy we experienced forced us to perform prophylactic cholecystectomy in these gastric cancer patients diagnosed with: cirrhosis or hepatitis; hemophilia or other hematologic disorders, and the cancer lesion involving the aborad part of the stomach.

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Section: Discussionmentioning

confidence: 62%

Increased Risk of Gallstones following Curative Gastrectomy for Cancer

et al. 1989

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“…Possibly more significant than the overall percentage is the apparent change in the sex ratio of gall-stone formation. In control subjects the female-to-male ratio was 5.8 : I, but after Billroth-I gastrectomy the ratio was I : 2 (Majoor and Suren, 1947).…”

Section: Clinical Evidencementioning

confidence: 94%

The influence of the vagus nerves on the biliary system

Hopton

1973

Journal of British Surgery

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Vagotomy has become accepted as a standard operation for the treatment of peptic ulcer during the past 15 years. Although used to treat a specific lesion in the stomach or duoddenum, vagus division can have a much wider effect on the digestive system, but little attentionhas been paid by most surgeons to the efffects of the vagus on other organs and it is timely to review the influence of the vagus nerves on the biliary system. In 1887 Ruggero Oddi suggested that the sphincter which is named after him was partly controlled by a nervous reflex. Since then many anatomists, physiologists, and clinicians have investigated the effects of the vagus nerves on the biliary system. The anatomical distribution of the vagus nerve and its hepatic and coeliac branches has been more thoroughly worked out than have their physiological effects.

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“…[1][2][3][4] Several factors have been suggested to contribute to gallstone formation. Truncal vagotomy reduces gallbladder tone and impairs its contractile activity, 5,6 possibly resulting in bile stasis and retrograde infection through the sphincter of Oddi (SO).…”

Section: Introductionmentioning

confidence: 99%