Gastric emptying after roux-y and billroth-I gastrectomy depends on viscosity of meal and contractile patterns of small intestine in dogs

Ehrlein, H. J.; Bühner, Sabine; Thoma, Gert; Schemann, Michael; Keinke, Oliver; Tsiamitas, Christian; Schumpelick, Volker

doi:10.1007/bf01296037

Cited by 34 publications

(12 citation statements)

References 27 publications

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“…However, this method may not be useful for postoperative patients because of poor visualization due to postoperative adhesion. According to a report by Ehrlein et al, 14 gastric emptying is greatly influenced by the test meal composition, and the acetaminophen marker method mainly evaluates the gastric emptying of semisolids. Koizumi et al 13 assessed gastric emptying in comparison with radionuclide labeling methods and the acetaminophen marker method, and concluded that the acetaminophen marker method could be an indirect quantitative measurement of gastric emptying.…”

Section: Discussionmentioning

confidence: 99%

Gastric Emptying After Pylorus-Preserving Gastrectomy in Comparison with Conventional Subtotal Gastrectomy for Early Gastric Carcinoma

et al. 1998

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It is well known that surgical intervention on the stomach will greatly alter gastric function and gastric emptying. In this study, we evaluated the difference in postoperative gastric remnant emptying following pylorus-preserving gastrectomy (PPG) and conventional subtotal gastrectomy (CDG) using sulfamethizole capsule food. The subjects comprised 18 patients who underwent PPG and 23 who underwent CDG for early gastric carcinoma. While delayed gastric emptying was observed early after PPG, 1 year after PPG it was markedly accelerated compared with that measured in the early postoperative period. However, it was slower than that in the CDG patients. On the other hand, rapid gastric emptying was observed early after CDG and did not change with time. These findings stress that although PPG results in stasis in the early postoperative period, it seems to prevent unduly rapid emptying.

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Section: Discussionmentioning

confidence: 99%

Gastric Emptying After Pylorus-Preserving Gastrectomy in Comparison with Conventional Subtotal Gastrectomy for Early Gastric Carcinoma

et al. 1998

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“…In dogs and humans, gastric emptying following distal gastrectomy is dependent on the viscosity of food material ingested and on small intestinal contractility, which is influenced by the gastroenterotomy technique used (Ehrlein et al . ). There are no studies in the horse describing motor function of any section of the alimentary tract following resection, but disruption to intestinal motor activity has been reported in dogs following distal intestinal resection (Quigley and Thompson ).…”

Section: Discussionmentioning

confidence: 97%

Partial gastrectomy and total splenectomy for the treatment of a gastric mass in a horse

Voss

Oliver

Rupp

et al. 2018

Equine Veterinary Education

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A 9-year-old cob mare with a history of recurrent colic presented during an acute colic episode. Ultrasonography revealed a mass emanating from the greater curvature of the stomach and was tightly adhered to the cranial edge of the spleen. Partial gastrectomy and total splenectomy were performed via a midline celiotomy incision. The mass was subsequently confirmed to be granulomatous inflammation, postulated to be secondary to a penetrating injury to the stomach. Post-operatively, the mare had episodes of recurrent colic that were successfully managed with optimisation of the horse's diet and feeding regime. At 10 months' post-operatively the mare was managed on full turn out, with no evidence of colic and had returned to the previous level of ridden work. The horse then presented 14 months post-operatively with severe colic due to a large colon impaction and displacement and was euthanased. This is the first report to describe successful partial gastrectomy as a treatment option for a gastric mass in the horse. Clinical findings at presentationThe horse was in good general body condition (BCS 3/5, 517 kg), and was quiet, alert, and responsive. Heart rate was 48 beats/min, respiratory rate was 8 breaths/min, and rectal temperature was 37.8°C. Mucous membranes were pale 1 Joint last author.

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“…Our results show that a drastic reduction of the size of the gastric remnant, to about 10%, with Roux-en-Y jejunostomy improves passage of food and diminishes symptoms of stasis after HSV with partial gastrectomy (BII). Recently, Ehrlein et al [1987] reported that, in the dog, gastric emptying was accelerated by BI resection and delayed by partial gas trectomy with Roux-en-Y reconstruction. This differ ence was attributed mainly to the transsection of the small intestine that goes with the Roux-en-Y proce dure.…”

Section: Discussionmentioning

confidence: 99%

Gastric Emptying after Gastric Surgery

Wittebol¹,

Haarman²,

Hoekstra³

et al. 1988

Dig Surg

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Almost any study upon the stomach will alter gastric motility and emptying. There are many reports on the effects of different operations on gastric or gastric remnant emptying, studied by a wide variety of methods. So the results are difficult to compare. The aim of this study was to investigate, with one standardized radionuclide technique, the effect of highly selective vagotomy, truncal vagotomy with pyloroplasty, partial gastrectomy (Billroth II), truncal vagotomy with partial gastrectomy (Billroth II) and subtotal gastrectomy with Roux-en-Y reconstruction on gastric emptying of semisolid and solid meals. Furthermore, the correlation between postoperative symptoms and emptying patterns are investigated in these patients. It is concluded from this study that, in patients with postprandial symptoms after gastric surgery, significant correlations exist between the emptying patterns of normal semisolid and solid meals and those symptoms. Symptoms appear to be more severe and intractable when any form of gastric resection is combined with vagotomy. Knowledge of the importance of gastric motility and emptying is essential for any surgeon involved in surgery of the stomach.

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Gastric emptying after roux-y and billroth-I gastrectomy depends on viscosity of meal and contractile patterns of small intestine in dogs

Cited by 34 publications

References 27 publications

Gastric Emptying After Pylorus-Preserving Gastrectomy in Comparison with Conventional Subtotal Gastrectomy for Early Gastric Carcinoma

Gastric Emptying After Pylorus-Preserving Gastrectomy in Comparison with Conventional Subtotal Gastrectomy for Early Gastric Carcinoma

Partial gastrectomy and total splenectomy for the treatment of a gastric mass in a horse

Gastric Emptying after Gastric Surgery

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