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The Surgical Clinics of North America Dec 1983Vagotomy and pyloroplasty are associated with technical complications, the most important being rupture of the esophagus, splenic injury, leak at the pyloroplasty, and... (Review)
Review
Vagotomy and pyloroplasty are associated with technical complications, the most important being rupture of the esophagus, splenic injury, leak at the pyloroplasty, and intra-abdominal bleeding. This operation can also be associated with other complications including epigastric fullness, dysphagia, vomiting of food, bilious vomiting, dumping, and diarrhea. The historical background and specific complications of each procedure are discussed.
Topics: Body Weight; Cholelithiasis; Deglutition Disorders; Diarrhea; Dumping Syndrome; Duodenal Ulcer; Esophagus; History, 18th Century; History, 20th Century; Humans; Postoperative Complications; Pylorus; Recurrence; Stomach Ulcer; Vagotomy
PubMed: 6359495
DOI: 10.1016/s0039-6109(16)43180-4 -
Lancet (London, England) Aug 1970
Topics: Drainage; Humans; Parasympathetic Nervous System; Vagotomy
PubMed: 4195160
DOI: 10.1016/s0140-6736(70)90100-5 -
A relic or still relevant: the narrowing role for vagotomy in the treatment of peptic ulcer disease.American Journal of Surgery Jan 2014Given the rise of medical treatment for peptic ulcer disease (PUD), surgical treatment is necessary only in select cases and emergencies. The authors assess the current... (Review)
Review
BACKGROUND
Given the rise of medical treatment for peptic ulcer disease (PUD), surgical treatment is necessary only in select cases and emergencies. The authors assess the current relevance of surgical vagotomy to treat PUD and its complications.
DATA SOURCES
Although historically significant, selective and highly selective vagotomy is very technically challenging, and highly selective vagotomy has a relatively narrow indication and high recurrence rates. Vagotomy and gastrectomy is associated with significant side effects. Two types of vagotomy remain relevant, within a narrow scope. Truncal vagotomy and pyloroplasty is safe and efficacious through a laparoscopic approach in certain emergent cases. Vagotomy and Roux-en-Y gastrojejunostomy can be used to treat severe PUD refractory to medical management.
CONCLUSIONS
The role of vagotomy in the management of PUD has a rich history but predated pharmacologic control of acid and understanding of the role of Helicobacter pylori in the disease. Thus, the current role of vagotomy is significantly limited. Specifically, the emergent use of truncal vagotomy is warranted for patients who are either resistant or allergic to proton pump inhibitors.
Topics: Gastric Outlet Obstruction; Gastroenterostomy; History, 20th Century; Humans; Pain, Intractable; Peptic Ulcer; Peptic Ulcer Perforation; Proton Pump Inhibitors; United States; Vagotomy
PubMed: 24139666
DOI: 10.1016/j.amjsurg.2013.02.012 -
Progress in Surgery 1975
Review
Topics: Duodenal Ulcer; Gastrins; Humans; Peptic Ulcer; Stomach; Vagotomy
PubMed: 1101299
DOI: No ID Found -
BMJ (Clinical Research Ed.) Mar 1991
Topics: Attitude of Health Personnel; Humans; Peptic Ulcer; Vagotomy
PubMed: 2021715
DOI: 10.1136/bmj.302.6776.547 -
Annals of the Royal College of Surgeons... Nov 1993
Topics: Humans; Laparoscopy; Vagotomy
PubMed: 8285553
DOI: No ID Found -
Lancet (London, England) Feb 1975
Topics: Chronic Disease; Duodenal Ulcer; Vagotomy
PubMed: 48629
DOI: 10.1016/s0140-6736(75)91511-1 -
Polski Tygodnik Lekarski (Warsaw,... Dec 1974
Review
Topics: Duodenal Ulcer; Follow-Up Studies; Hospitalization; Humans; Length of Stay; Pyloric Antrum; Pyloric Stenosis; Recurrence; Vagotomy
PubMed: 4612500
DOI: No ID Found -
Polski Przeglad Chirurgiczny Jan 1968
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JPMA. the Journal of the Pakistan... Nov 1991Incomplete vagotomy is the single most common cause of ulcer recurrence. Completeness of vagotomy was assessed postoperatively in 17 patients using the congo red test....
Incomplete vagotomy is the single most common cause of ulcer recurrence. Completeness of vagotomy was assessed postoperatively in 17 patients using the congo red test. Various types of vagotomies included truncal vagotomy and gastrojejenostomy in 6, highly selective vagotomy in 5, truncal vagotomy and pyloroplasty in 3 and selective vagotomy with gastrojejenostomy in 3 cases. Congo red test was positive in 13 cases, with 9 of these showing evidence of incomplete vagotomy manifesting as erosions, duodenitis, stomal ulceration or ulcer recurrence.
Topics: Adolescent; Adult; Congo Red; Female; Humans; Male; Middle Aged; Peptic Ulcer; Vagotomy
PubMed: 1766072
DOI: No ID Found