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- Title
Vagotomy and Gastrojejunostomy for Benign Gastric Outlet Obstruction.
- Authors
Wing Tai Siu; Chung Ngai Tang; Bonita Ka Bo Law; Chun Han Chau; Kwok Kay Yau; George Pei Cheung Yang; Michael Ka Wah Li
- Abstract
Objective: Peptic-ulcer-induced gastric outlet obstruction is an indication for operative intervention. The advent of minimal access surgery allows the conventional open procedure to be performed via laparoscopy. Patients and methods: From 1996 to 2000,15 consecutive patients, aged 29 to 75 years, underwent laparoscopic truncal vagotomy and gastrojejunostomy for gastric outlet obstruction. Perioperative data and longterm followup results were analyzed. Results: There were no conversions or perioperative mortality. The mean operative time was 114 minutes. Patients required on average 1 dose of intramuscular pethidine for analgesia. Eleven patients were discharge by postoperative day 10; the remaining 4 patients had delayed gastric emptying which settled with conservative treatment. With an average followup period of 80 months, patients were classified as Visick I (n=7), II (n=5), III (n=1), and IV (n=2). Conclusion: Laparoscopic truncal vagotomy and gastrojejunostomy is technically feasible for patients with benign gastric outlet obstruction and is associated with satisfactory perioperative and longterm outcome.
- Subjects
VAGOTOMY; GASTRIC bypass; ULCERS; LAPAROSCOPY; HELICOBACTER pylori
- Publication
Journal of Laparoendoscopic & Advanced Surgical Techniques, 2004, Vol 14, Issue 5, p266
- ISSN
1092-6429
- Publication type
Article
- DOI
10.1089/lap.2004.14.266