Anterior gastric wall stapling combined with posterior truncal vagotomy in the treatment of duodenal ulcer

Background: Gastro-intestinal stromal tumour (GIST) commonly involves stomach. Recently there has been an inclination towards managing these benign but potentially malignant lesions by minimal invasive techniques. Surgical excision of gastric GIST mostly requires anterior wall gastrostomy especially for intraluminal lesions. The size and location of the lesion are critical from technical point of view. Lesions located at gastro-esophageal junction requires larger anterior gastric wall opening to reach the site of tumour for excision. Endoscopic excision for such lesions is not always amenable. We performed excision of a posteriorly locat Methods: ed gastric GIST at GE junction by hitching the anterior gastric wall with the anterior abdominal wall and by directly creating pneumogastrium percutaneously for placing three intra-gastric trocars. Results: Patient was discharged on post-operative day 3 in a satisfactory condition. Histopathology revealed complete resection of GIST lesion with margins free from tumour. Immuno-histochemistry (IHC) conrmed it to be GIST with low malignant potential and patient was advised regular follow up. Laparoscopic intra-gastric excision of a posteriorly located gast Conclusion: ro-oesophageal junction GIST lesion after creating pneumogastrium and using conventional laparoscopic instruments is a safe procedure

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Bile acid and lysolecithin concentrations in the stomach in patients with duodenal ulcer before operation and after treatment by highly selective vagotomy, partial gastrectomy, or truncal vagotomy and drainage

Gut ◽

10.1136/gut.23.7.569 ◽

1982 ◽

Vol 23 (7) ◽

pp. 569-577 ◽

Cited By ~ 37

Author(s):

P Dewar ◽

R King ◽

D Johnston

Keyword(s):

Duodenal Ulcer ◽

Bile Acid ◽

Partial Gastrectomy ◽

Truncal Vagotomy ◽

Selective Vagotomy ◽

Highly Selective Vagotomy

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The Discriminatory Ability of Gastric Acid Secretion Tests in the Diagnosis of Recurrence after Truncal Vagotomy and Drainage for Duodenal Ulcer

Scandinavian Journal of Gastroenterology ◽

10.1080/00365521.1973.12096739 ◽

1973 ◽

Vol 8 (6) ◽

pp. 483-489 ◽

Cited By ~ 4

Author(s):

O. Kronborg

Keyword(s):

Duodenal Ulcer ◽

Acid Secretion ◽

Gastric Acid Secretion ◽

Gastric Acid ◽

Truncal Vagotomy ◽

Discriminatory Ability

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Comparison of Anterior Gastric Wall and Greater Gastric Curvature Invaginations for Weight Loss in Rats

Obesity Surgery ◽

10.1007/s11695-007-9238-4 ◽

2007 ◽

Vol 17 (10) ◽

pp. 1340-1345 ◽

Cited By ~ 21

Author(s):

Pedro E. B. Fusco ◽

Renato S. Poggetti ◽

Riad N. Younes ◽

Belchor Fontes ◽

Dario Birolini

Keyword(s):

Weight Loss ◽

Gastric Wall ◽

Anterior Gastric Wall

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A Secretory and Histological Study of the Stomach before and after Truncal Vagotomy and Pyloroplasty in Duodenal Ulcer Patients

Scandinavian Journal of Gastroenterology ◽

10.1080/00365521.1976.12097074 ◽

1976 ◽

Vol 11 (1) ◽

pp. 65-71 ◽

Cited By ~ 1

Author(s):

M. Roland

Keyword(s):

Duodenal Ulcer ◽

Histological Study ◽

Truncal Vagotomy ◽

Before And After

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SURGICAL GASTROSTOMY BASED ON ENDOSCOPIC CONCEPTS

ABCD Arquivos Brasileiros de Cirurgia Digestiva (São Paulo) ◽

10.1590/0102-6720201600010013 ◽

2016 ◽

Vol 29 (1) ◽

pp. 50-52

Author(s):

Emmanuel Conrado SOUZA

Keyword(s):

Gastric Wall ◽

Percutaneous Approach ◽

Endoscopic Gastrostomy ◽

Minimal Incision ◽

Left Hypochondrium ◽

Direct View ◽

Anterior Gastric Wall ◽

Enteral Access ◽

Surgical Gastrostomy

Background: Until the early 1980s, Stamm technique was considered standard method to gastrostomy. After description of the endoscopic technique, due to its efficiency and speed, quickly became the method of choice for long-term enteral access. Aim: Describe a technique that combines direct view of the stomach from open surgery with the simplicity and less traumatic endoscopic gastrostomy method. Method: In patient supine under spinal anesthesia the technique stars with small epigastric incision to pull up the stomach. A 3 mm incision in the left hypochondrium is made to pass needle puncture to guidewire passage. The stomach is drilled, guidewire is seizured, connection to catheter and percutaneous approach is made with traction of the stomach to the abdominal wall. Purse suture on the anterior gastric wall is not needed. Results: Twenty-eight patients underwent gastrostomy using endoscopy devices; six had local minor complications without the need for re-intervention; there was no death. Conclusion: The surgical gastrostomy with minimal incision in the stomach to pull off the catheter using endoscopic gastrostomy devices, proved to be safe, easy to perform, less traumatic, quick, simple and elegant.

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