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The British Journal of Surgery Sep 1979Progression of dysphagia after vagotomy to the stage of complete obstruction due to a peri-oesophageal fibrotic collar needing operation is a rare event. Review of the 4...
Progression of dysphagia after vagotomy to the stage of complete obstruction due to a peri-oesophageal fibrotic collar needing operation is a rare event. Review of the 4 such cases previously described, all needing further operation and all after truncal vagotomy, indicates that the oesophageal mucosa was normal on oesophagoscopy and that bouginage appeared to make the condition worse. This paper describes the first patient in whom (a) the vagotomy was selective and (b) no bouginage was carried out before the condition was relieved by a further surgical operation.
Topics: Deglutition Disorders; Humans; Male; Middle Aged; Time Factors; Vagotomy
PubMed: 497642
DOI: 10.1002/bjs.1800660903 -
Journal de Chirurgie Dec 1985The effect of truncal and proximal gastric vagotomies on the secretin secretion was investigated on 28 dogs. Truncal vagotomy was applied 15, and proximal gastric...
The effect of truncal and proximal gastric vagotomies on the secretin secretion was investigated on 28 dogs. Truncal vagotomy was applied 15, and proximal gastric vagotomy on the rest of them. The secretin secretion was stimulated giving HCl of 0, 1 N into duodenum. The level of secretin in portal plasma was measured with RIA at 3, 5, 10, 15, 30 and 45th minutes just before and after stimulation. It was found out that various responses were given to the stimulation when the results were obtained before vagotomy, just after it and one month later. After truncal vagotomy the response of taken out duodenal acidification decreased significatively. A clear increase was noticed in the response one month later, but this increase didn't reach to the level seen just before truncal vagotomy. The responses in proximal gastric vagotomized group were not effected by the operation in early stage, one month later a decrease was seen in the response, the later stages.
Topics: Animals; Dogs; Hydrochloric Acid; Portal Vein; Secretin; Vagotomy; Vagotomy, Proximal Gastric; Vagus Nerve
PubMed: 4086529
DOI: No ID Found -
Acta Gastro-enterologica Belgica 1978
Comparative Study
Topics: Duodenal Ulcer; Evaluation Studies as Topic; Humans; Recurrence; Vagotomy
PubMed: 685632
DOI: No ID Found -
La Revue Du Praticien Sep 1974
Topics: Humans; Peptic Ulcer; Postoperative Complications; Recurrence; Vagotomy
PubMed: 4445756
DOI: No ID Found -
Vestnik Khirurgii Imeni I. I. Grekova 1999Short-term and long-term results of surgical treatment of 487 patients with duodenal ulcer were studied. In 337 patients (69.2%) truncal vagotomy was performed; in 94... (Comparative Study)
Comparative Study
Short-term and long-term results of surgical treatment of 487 patients with duodenal ulcer were studied. In 337 patients (69.2%) truncal vagotomy was performed; in 94 patients (19.3%)--combined vagotomy; in 56 patients (11.5%)--selective vagotomy. With no lethal outcomes, the frequency of general surgical complications was 5.6% which did not depend on the type of vagotomy. According to the Visick criteria long-term excellent and good results were noted after truncal vagotomy in 90.4% of the patients, after combined vagotomy--in 88% and after selective proximal vagotomy--in 70% of the patients. With the same frequency of recurrent ulcers, diarrhea and dumping-syndrome combined vagotomy has some advantages in recovery of the motor evacuating function as compared with truncal vagotomy; yielding in frequency of diarrhea it has better long-term results by the Visick criteria as compared with selective proximal vagotomy and less frequency of recurrent ulcers.
Topics: Dumping Syndrome; Duodenal Ulcer; Evaluation Studies as Topic; Follow-Up Studies; Humans; Recurrence; Time Factors; Vagotomy; Vagotomy, Proximal Gastric; Vagotomy, Truncal
PubMed: 10533218
DOI: No ID Found -
Nihon Geka Gakkai Zasshi Jan 1985
Topics: Animals; Dogs; Duodenal Ulcer; Humans; Recurrence; Stomach; Stomach Ulcer; Vagotomy; Vagotomy, Proximal Gastric
PubMed: 3974564
DOI: No ID Found -
Clinics in Gastroenterology Sep 1982
Review
Topics: Animals; Digestive System; Digestive System Surgical Procedures; Electrophysiology; Gastrointestinal Diseases; Gastrointestinal Motility; Humans; Intestinal Obstruction; Muscle Contraction; Peptic Ulcer; Postoperative Complications; Vagotomy
PubMed: 6754173
DOI: No ID Found -
Neurotoxicology Mar 2009Acute organophosphate (OP) poisoning causes respiratory failure through two mechanisms: central apnea and pulmonary dysfunction. The vagus nerve is involved in both the... (Comparative Study)
Comparative Study
Acute organophosphate (OP) poisoning causes respiratory failure through two mechanisms: central apnea and pulmonary dysfunction. The vagus nerve is involved in both the central control of respiratory rhythm as well as the control of pulmonary vasculature, airways and secretions. We used a rat model of acute OP poisoning with and without a surgical vagotomy to explore the role of the vagus in OP-induced respiratory failure. Dichlorvos (2,2-dichlorovinyl dimethyl phosphate) injection (100mg/kg subcutaneously, 3 x LD50) resulted in progressive hypoventilation and apnea in all animals, irrespective of whether or not the vagi were intact. However, vagotomized animals exhibited a more rapidly progressive decline in ventilation and oxygenation. Artificial mechanical ventilation initiated at onset of apnea resulted in improvement in oxygenation and arterial pressure in poisoned animals with no difference between vagus intact or vagotomized animals. Our observations suggest that vagal mechanisms have a beneficial effect during the poisoning process. We speculate that vagally mediated feedback signals from the lung to the brainstem serve as a modest protective mechanism against central respiratory depressive effects of the poison and that bulbar-generated efferent vagal signals do not cause sufficient pulmonary dysfunction to impair pulmonary gas exchange.
Topics: Animals; Male; Organophosphate Poisoning; Organophosphates; Rats; Rats, Wistar; Respiratory Insufficiency; Vagotomy; Vagus Nerve
PubMed: 19428503
DOI: 10.1016/j.neuro.2009.01.006 -
The American Surgeon Mar 1966
Topics: Adolescent; Adult; Aged; Duodenal Ulcer; Female; Follow-Up Studies; Gallbladder Diseases; Gastric Acid; Gastroenterostomy; Humans; Male; Middle Aged; Recurrence; Sex Factors; Vagotomy
PubMed: 4951920
DOI: No ID Found -
Revista de Chirurgie, Oncologie,... 1976In the author's statistics concerning vagotomy with simple gastric draining, performed for gastric ulcers and duodenal ulcers (a number of 556 total abdominal...
In the author's statistics concerning vagotomy with simple gastric draining, performed for gastric ulcers and duodenal ulcers (a number of 556 total abdominal vagotomies, 196 selective gastric vagotomies, 179 selective high vagotomies), ulcerous recidives occured 23 times (2,4%). The authors conclude on the following aspects: -- ulcerous recidives occur more frequently following classical, selective gastric vagotomy; -- the diagnosis of ulcerous recidive is difficult and it should be based on clinical and para-clinical explorations, as well as on "test-therapy"; -- the efficiency of iterative vagotomy raises the problem of the incomplete vagotomy in the etiology of the recidivating ulcers.
Topics: Adolescent; Adult; Female; Gastrectomy; Humans; Male; Middle Aged; Peptic Ulcer; Recurrence; Vagotomy
PubMed: 134403
DOI: No ID Found