Duodenal Ulcer Treated by Highly Selective Vagotomy

1986 ◽  
Vol 16 (4) ◽  
pp. 160-163 ◽  
Author(s):  
A O Arigbabu ◽  
C O Omole ◽  
D O Akinola
Keyword(s):  
Duodenal Ulcer ◽  
Peptic Ulcer ◽  
Gastric Outlet Obstruction ◽  
Outlet Obstruction ◽  
Clinical Results ◽  
High Rate ◽  
Truncal Vagotomy ◽  
Cure Rate ◽  
Selective Vagotomy ◽  
Highly Selective Vagotomy

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.

scholarly journals Highly selective vagotomy and gastrojejunostomy in the treatment of peptic ulcer induced gastric outlet obstruction

2014 ◽  
Vol 71 (11) ◽  
pp. 1013-1017 ◽  
Author(s):  
Nebojsa Radovanovic ◽  
Aleksandar Simic ◽  
Ognjan Skrobic ◽  
Milutin Kotarac ◽  
Nenad Ivanovic
Keyword(s):  
Peptic Ulcer ◽  
Gastric Outlet Obstruction ◽  
Intraoperative Complications ◽  
Outlet Obstruction ◽  
Upper Gastrointestinal Endoscopy ◽  
Ulcer Recurrence ◽  
Selective Vagotomy ◽  
Highly Selective Vagotomy ◽  
Retrospective Clinical Study

Background/Aim. The incidence of peptic ulcer-induced gastric outlet obstruction is constantly declining. The aim of this study was to present our results in the treatment of gastric outlet obstruction with highly selective vagotomy and gastrojejunostomy. Methods. This retrospective clinical study included 13 patients with peptic ulcer - induced gastric outlet obstruction operated with higly selective vagotomy and gastrojejunostomy. A 3-year follow-up was conducted including clinical interview and upper gastrointestinal endoscopy on 1 and 3 years after the surgery. Results. The most common preoperative symptom was vomiting (in 92.3% of patients). The mean preoperative body mass index was 16.3 ? 3.1 kg/m2, with 9 patients classified preoperatively as underweight. There were no intraoperative complications, nor mortality. At a 3-year follow-up there was no ulcer recurrence. Delayed gastric emptying was present in 1, bile reflux in 2, and erosive gastritis in 1 patient. Two patients suffered from mild ?dumping? syndrome. Conclusion. Higly selective vagotomy combined with gastrojejunostomy is a safe and easily feasible surgical solution of gastric outlet obstruction induced by peptic ulcer. Good functional results and low rate of complications can be expected at a long-term follow-up.

Clinical results of 229 patients with duodenal ulcer 1–6 years after highly selective vagotomy

1980 ◽  
Vol 67 (1) ◽  
pp. 29-32 ◽  
Author(s):  
H. O. Adami ◽  
L. K. Enander ◽  
C. Ingvar ◽  
B. Rydberg
Keyword(s):  
Duodenal Ulcer ◽  
Clinical Results ◽  
Selective Vagotomy ◽  
Highly Selective Vagotomy

scholarly journals An incidental concurrence causing gastric outlet obstruction

2021 ◽  
Vol 8 (8) ◽  
pp. 2505
Author(s):  
Abhirup H. R. ◽  
Priyanka Kenchetty ◽  
Aishwarya K. Chidananda
Keyword(s):  
Duodenal Ulcer ◽  
Peptic Ulcer ◽  
Peptic Ulcer Disease ◽  
Gastric Outlet Obstruction ◽  
Previous History ◽  
Outlet Obstruction ◽  
Exploratory Laparotomy ◽  
Ulcer Disease ◽  
History Of ◽  
Emergency Surgical Intervention

Phytobezoar which is described as an undigested or incompletely digested food. It is an odd cause of gastric outlet obstruction (GOO). The aim of this study is to present and discuss a case of GOO caused by cicatrised duodenal ulcer with a phytobezoar. 71-year-old male, presented with abdominal pain and vomiting (non-bilious) since 3days with peptic ulcer disease for 4 years. Examination and investigations revealed a bezoar requiring emergency surgical intervention. An exploratory laparotomy was conducted. A bezoar was palpated in the stomach and removed through posterior gastrotomy. Vagotomy with Posterior Gastrojejunostomy was done as drainage procedure for cicatrised Duodenal ulcer. GOO caused by phytobezoar can co-exist in patients with previous history of peptic ulcer disease and cicatrised duodenal ulcer. Urgent laparotomy may be indicated.

scholarly journals Endoscopic Obliteration for Bleeding Peptic Ulcer

1997 ◽  
Vol 4 (2) ◽  
pp. 61-64
Author(s):  
A. W. Włodarczyk ◽  
J.J. J. Zawadzki ◽  
A.G. G. Gajda ◽  
P. Ł. Kamiński ◽  
L. Lembas ◽  
...  
Keyword(s):  
Duodenal Ulcer ◽  
Peptic Ulcer ◽  
Gastric Ulcer ◽  
Elective Surgery ◽  
Bleeding Peptic Ulcer ◽  
Truncal Vagotomy ◽  
Gastric Ulcers ◽  
Ulcer Bleeding ◽  
Recurrent Bleeding ◽  
Selective Vagotomy

A group of 133 patients treated for bleeding peptic ulcer in our Department, is reviewed. Within several hours of admission, all patients underwent upper gastrointestinal tract gastroscopy and obliteration of the bleeding ulcer. Bleeding gastric ulcers were found in 41 patients, and duodenal ulcers in 92 patients. Patients were classified according to the Forrest scale: IA – 11 patients, IB – 49 patients, IIA – 35 patients, lIB – 40 patients. In 126 (94.7%) patients the bleeding was stopped, and 7 required urgent surgery: 3 patients with gastric ulcer underwent gastrectomy, and 4 with duodenal ulcer – truncal vagotomy with pyloroplasty and had the bleeding site underpinned. Fifty-five patients underwent elective surgery: gastrectomy and vagotomy (18 patients with gastric ulcer), highly selective vagotomy (25 patients with duodenal ulcer) and truncal vagotomy and pyloroplasty (12 patients with duodenal ulcer). None of the patients was observed to have recurrent bleeding.

scholarly journals Gastric outlet obstruction: clinical presentations and its surgical management

2018 ◽  
Vol 5 (2) ◽  
pp. 622 ◽  
Author(s):  
Tejas A. P. ◽  
Rajashekar Jade ◽  
Srinivas S.
Keyword(s):  
Duodenal Ulcer ◽  
Gastric Outlet Obstruction ◽  
Subtotal Gastrectomy ◽  
Outlet Obstruction ◽  
Truncal Vagotomy ◽  
Common Symptom ◽  
Average Hospital ◽  
Common Cause ◽  
Billroth I ◽  
Carcinoma Stomach

Background: Gastric outlet obstruction (GOO) mechanically impedes gastric emptying, normal emptying of the stomach. It is a diagnostic and therapeutic challenge for general surgeons in their daily practice. This paper highlights the etiology, clinical presentation and treatment outcome of GOO.Methods: A Prospective study was conducted on patients with GOO treated at Rajarajeswari medical college and hospital, Bangalore during September 2015 to august 2017. Data was tabulated and analyzed using descriptive statistical methodology.Results: Carcinoma stomach with antral growth and cicatrized duodenal ulcer (both 41.5%) were the most common cause of gastric outlet obstruction. Male were more affected than females (2.5:1). Most common symptom was vomiting and abdominal pain (noted among all), followed by loss of appetite (83%) and loss of weight (82.35%). 94.1% patients of Cicatrized duodenal ulcer underwent truncal vagotomy with posterior gastrojejunostomy and 5.9% underwent truncal vagotomy with antrectomy. 58.8% patients of carcinoma stomach, underwent distal gastrectomy with ante-colic Roux-en-Y gastro- jejunostomy, 12.1% patients underwent subtotal gastrectomy with ante-colic and Roux-en-Y gastro jejunostomy and 4.8% patients underwent palliative gastrojejunostomy. In corrosive antral stricture Billroth I gastrectomy was done. Patients of pancreatic malignancy underwent palliative anterior gastrojejunostomy and pseudo- pancreatic cyst was treated by cystojejunostomy. The average hospital stay was 10-14 days and an overall mortality of 5.8% for malignant patients was noted.Conclusions: Study concludes that gastric outlet obstruction is an important and a common surgical condition in tertiary hospital. Malignancy and benign cicatrized duodenal ulcer being the most common cause.

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