Effect of pyloroplasty on gastric emptying: Long term results as obtained with a labelled test meal 14–43 months after operation

Author:

Binswanger R O1,Aeberhard P1,Walther M1,Vock P1

Affiliation:

1. University Departments of Nuclear Medicine and Surgery, Inselspital, Berne, Switzerland

Abstract

Abstract The mean gastric transit time (t) and the half-time of gastric emptying (t/2) of a labelled test meal have been studied in 18 patients more than I year after gastrc surgery for peptic ulcer and compared with those in 18 healthy controls. Of the patients, 6 had undergone proximal gastric vagtotomy alone (PGV), 6 had had proximal gastric vagotomy and pyloroplasty (PGVP) and in 6 truncal vagotomy and pyloroplasty (TVP) had been performed. The t and t/2 of patients with PGV alone did not differ significantly from the values of the control group. The t and t/2 in patients after PGVP and TVP, however, were significantly lower than in both controls and patients after PGV alone. There was no statistically significant difference between the groups with PGVP and TVP. The results of this study suggest that the lasting effects of vagotomy operatins on gastric emptying are due to the drainage procedure rather than the vagotomy.

Publisher

Oxford University Press (OUP)

Subject

Surgery

Reference27 articles.

1. Studies on the inhibitory nervous control of gastric motility;Abrahamsson;Acta Physiol. Scand. Suppl.,1973

2. Die Charakterisierung der Magenentleerung durch Berechnung der Transitzeit;Aeberhard;Schweiz. Med. Wochenschr.,1977

3. Mean transit time of solid test meals in gastric emptying;Aeberhard;Digestion,1977

4. The effect of retaining an innervated antrum on gastric emptying after vagotomy;Alexander-Williams;Gastroenterology,1973

5. The effect of preserving antral innervation and of a pyloroplasty on gastric emptying after vagotomy in man;Clarke;Gut,1973

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