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

Author:

Van Hee R1,Mistiaen W1,Hendrickx L2,Blockx P3

Affiliation:

1. Department of Surgical Research, University of Antwerp, Antwerp, Belgium

2. Department of Surgery, Stuivenberg General Hospital, Antwerp, Belgium

3. Department of Nuclear Medicine, University Hospital of Antwerp, Antwerp, Belgium

Abstract

Abstract Anterior gastric stapling with posterior truncal vagotomy was examined as an alternative to highly selective vagotomy in the treatment of peptic ulcer disease. A clinical series of 32 patients who underwent the combined procedure is presented; gastric acid output was adequately reduced (basal output by 82 per cent, peak by 64 per cent). Motility changes were temporary and mild. Clinical follow-up, using a modified Visick grading, showed good to excellent results in 21 of 25 patients who could be classified. This procedure is suggested as an appropriate alternative to highly selective vagotomy.

Publisher

Oxford University Press (OUP)

Subject

Surgery

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