Bile reflux and degree of gastritis after highly selective vagotomy, truncal vagotomy, and partial gastrectomy for duodenal ulcer

Over a period of 5 years 102 highly selective vagotomies (HSV) were performed. The cases selected excluded gastric outlet obstruction. The results show a significant cure rate of peptic ulcer, without any deaths. It is suggested that the high rate of recurrences and complications reported from other centres might be due to incomplete denervation, most likely due to variations of the nerve or damage to the nerve of Latarjet, amounting to truncal vagotomy — Complete or incomplete, depending on the nature and level of damage to the nerve. From our experience at this centre, HSV has given very good clinical results in the 5 years of review. The procedure is safe and without mortality.

Download Full-text

Managing the complications of vagotomy and drainage

Drug and Therapeutics Bulletin ◽

10.1136/dtb.7.25.97 ◽

1969 ◽

Vol 7 (25) ◽

pp. 97-99

Keyword(s):

Duodenal Ulcer ◽

Gastric Ulcer ◽

Small Bowel ◽

Gall Bladder ◽

Partial Gastrectomy ◽

Specific Form ◽

Metabolic Effects ◽

Recurrent Ulcer ◽

Selective Vagotomy ◽

Postoperative Problems

Vagotomy, accompanied by either gastroenterostomy or pyloroplasty, has become the most commonly used operation for duodenal ulcer. A few specialised units prefer selective vagotomy which preserves the extragastric vagal fibres running to gall bladder, pancreas and small bowel.1 2 Some surgeons also use vagotomy to treat gastric ulcer.1–3 These procedures are at least as successful as partial gastrectomy,4 but the metabolic effects may be less severe. The main postoperative problems are recurrent ulcer and a specific form of diarrhoea.

Download Full-text

Anterior highly selective vagotomy with posterior truncal vagotomy: A simple technique for denervating the parietal cell mass

British Journal of Surgery ◽

10.1002/bjs.1800651010 ◽

1978 ◽

Vol 65 (10) ◽

pp. 702-705 ◽

Cited By ~ 33

Author(s):

G. L. Hill ◽

M. C. J. Barker

Keyword(s):

Parietal Cell ◽

Simple Technique ◽

Cell Mass ◽

Truncal Vagotomy ◽

Selective Vagotomy ◽

Highly Selective Vagotomy

Download Full-text

Early return to work following highly selective vagotomy

Journal of The Royal Naval Medical Service ◽

10.1136/jrnms-76-39 ◽

1990 ◽

Vol 76 (1) ◽

pp. 39-42

Author(s):

D. N. Tulloch ◽

E. P. Dewar

Keyword(s):

Duodenal Ulcer ◽

Ulcer Recurrence ◽

Royal Navy ◽

Selective Vagotomy ◽

Highly Selective Vagotomy ◽

Early Return ◽

The Mean ◽

A Prospective Study ◽

Return To Duty ◽

Mean Time

SummaryIn the Royal Navy, after surgery, the time that servicemen spend away from work and the level of duty to whch they return are decisions made by the surgeon, not the general practitioner.In a prospective study, we have thus been able to assess the acceptability of return to full duty at decreasing intervals after highly selected vagotomy (HSY).Seventy-eight service men who underwent HSY for duodenal ulcer were studied in three periods, 1978–1980, 1981–1982, 1983–1986, each with a shorter interval to return to duty.There were no differences in the rates of ulcer recurrence, incisional hernia, or ability to perform full duties.After HSY the mean time to return to full duties for each group was 29.3, 16.4, and 4.2 weeks, respectively. Every patient returned to full duties at 28 days was able to perform any assigned task whether at sea or ashore.

Download Full-text