Comparison of the Effect of Conventional Highly Selective Vagotomy and Anterior Gastric Wall Stapling with Posterior Truncal Vagotomy on the Gastric Emptying Rate for Solid Meals in Beagle Dogs

1994 ◽  
Vol 26 (1) ◽  
pp. 28-34 ◽  
Author(s):  
W. Mistiaen ◽  
R. Van Hee ◽  
P. Blockx
Keyword(s):  
Gastric Emptying ◽  
Gastric Wall ◽  
Truncal Vagotomy ◽  
Beagle Dogs ◽  
Gastric Emptying Rate ◽  
Selective Vagotomy ◽  
Highly Selective Vagotomy ◽  
Anterior Gastric Wall

Solid Gastric Emptying after Highly Selective Vagotomy and Pyloroplasty in Patients with Obstructing Duodenal Ulcer

2005 ◽  
Vol 33 (2) ◽  
pp. 245-251 ◽  
Author(s):  
N Ozalp ◽  
MM Ozmen ◽  
B Zulfikaroglu ◽  
H Ortapamuk ◽  
M Koc
Keyword(s):  
Duodenal Ulcer ◽  
Gastric Emptying ◽  
Prospective Study ◽  
Pyloric Stenosis ◽  
Medical Management ◽  
Solid Phase ◽  
Selective Vagotomy ◽  
Highly Selective Vagotomy ◽  
Chronic Duodenal Ulcer ◽  
Different Types

Before being superseded by medical management, highly selective vagotomy (HSV) without drainage was the procedure of choice for uncomplicated duodenal ulcer. It is also justified for complications, including perforation and bleeding in selected cases. This prospective study evaluated the effects of HSV plus drainage on solid gastric emptying in 20 patients with chronic duodenal ulcer and pyloric stenosis. Patients were treated with HSV plus pyloroplasty (Heineke-Mikulicz pyloroplasty in five patients, Finney pyloroplasty in six patients and Jaboulay gastroduodenostomy in nine patients) and underwent solid-phase gastric emptying scintigraphic studies pre-operatively and 2 months and 6 months post-operatively. Results were compared with those from 10 controls. No significant differences were observed between the different types of pyloroplasty, although emptying was slightly faster in the gastroduodenostomy group. Gastric emptying returned to normal by 6 months post-operatively. In conclusion, HSV plus pyloroplasty is effective and can be used for the relief of stenosis in selected cases of duodenal ulcer.

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