Highly selective vagotomy and gastrojejunostomy in the treatment of peptic ulcer induced gastric outlet obstruction
Апстракт
BACKGROUND: /Aim. The incidence of peptic ulcer-induced gastric outlet obstruction is constantly declining. The aim of this study was to present our results in the treatment of gastric outlet obstruction with highly selective vagotomy and gastrojejunostomy. Methods. This retrospective clinical study included 13 patients with peptic ulcer induced gastric outlet obstruction operated with highly selective vagotomy and gastrojejunostomy. A 3-year follow-up was conducted including clinical interview and upper gastrointestinal endoscopy on 1 and 3 years after the surgery. Results. The most common preoperative symptom was vomiting (in 92.3% of patients). The mean preoperative body mass index was 16.3 +/- 3.1 kg/m(2), with 9 patients classified preoperatively as underweight. There were no intraoperative complications, nor mortality. At a 3-year follow-up there was no ulcer recurrence. Delayed gastric emptying was present in 1, bile reflux in 2, and erosive gastritis in 1 patient. Two patients ...suffered from mild "dumping" syndrome. Conclusion. Higly selective vagotomy combined with gastrojejunostomy is a safe and easily feasible surgical solution of gastric outlet obstruction induced by peptic ulcer. Good functional results and low rate of complications can be expected at a long-term follow-up.
Кључне речи:
peptic ulcer / pyloric stenosis / vagotomy / proximal gastric / digestive system surgical procedures / treatment outcomeИзвор:
Vojnosanitetski pregled, 2014, 71, 11, 1013-1017Издавач:
- Vojnomedicinska akademija - Institut za naučne informacije, Beograd
DOI: 10.2298/VSP1411013R
ISSN: 0042-8450
PubMed: 25536803
WoS: 000345604500004
Scopus: 2-s2.0-84919785188
Институција/група
Poljoprivredni fakultetTY - JOUR AU - Radovanović, Nebojša AU - Simić, Aleksandar AU - Skrobić, Ognjan AU - Kotarac, Milutin AU - Ivanović, Nenad PY - 2014 UR - http://aspace.agrif.bg.ac.rs/handle/123456789/3473 AB - BACKGROUND: /Aim. The incidence of peptic ulcer-induced gastric outlet obstruction is constantly declining. The aim of this study was to present our results in the treatment of gastric outlet obstruction with highly selective vagotomy and gastrojejunostomy. Methods. This retrospective clinical study included 13 patients with peptic ulcer induced gastric outlet obstruction operated with highly selective vagotomy and gastrojejunostomy. A 3-year follow-up was conducted including clinical interview and upper gastrointestinal endoscopy on 1 and 3 years after the surgery. Results. The most common preoperative symptom was vomiting (in 92.3% of patients). The mean preoperative body mass index was 16.3 +/- 3.1 kg/m(2), with 9 patients classified preoperatively as underweight. There were no intraoperative complications, nor mortality. At a 3-year follow-up there was no ulcer recurrence. Delayed gastric emptying was present in 1, bile reflux in 2, and erosive gastritis in 1 patient. Two patients suffered from mild "dumping" syndrome. Conclusion. Higly selective vagotomy combined with gastrojejunostomy is a safe and easily feasible surgical solution of gastric outlet obstruction induced by peptic ulcer. Good functional results and low rate of complications can be expected at a long-term follow-up. PB - Vojnomedicinska akademija - Institut za naučne informacije, Beograd T2 - Vojnosanitetski pregled T1 - Highly selective vagotomy and gastrojejunostomy in the treatment of peptic ulcer induced gastric outlet obstruction EP - 1017 IS - 11 SP - 1013 VL - 71 DO - 10.2298/VSP1411013R ER -
@article{ author = "Radovanović, Nebojša and Simić, Aleksandar and Skrobić, Ognjan and Kotarac, Milutin and Ivanović, Nenad", year = "2014", abstract = "BACKGROUND: /Aim. The incidence of peptic ulcer-induced gastric outlet obstruction is constantly declining. The aim of this study was to present our results in the treatment of gastric outlet obstruction with highly selective vagotomy and gastrojejunostomy. Methods. This retrospective clinical study included 13 patients with peptic ulcer induced gastric outlet obstruction operated with highly selective vagotomy and gastrojejunostomy. A 3-year follow-up was conducted including clinical interview and upper gastrointestinal endoscopy on 1 and 3 years after the surgery. Results. The most common preoperative symptom was vomiting (in 92.3% of patients). The mean preoperative body mass index was 16.3 +/- 3.1 kg/m(2), with 9 patients classified preoperatively as underweight. There were no intraoperative complications, nor mortality. At a 3-year follow-up there was no ulcer recurrence. Delayed gastric emptying was present in 1, bile reflux in 2, and erosive gastritis in 1 patient. Two patients suffered from mild "dumping" syndrome. Conclusion. Higly selective vagotomy combined with gastrojejunostomy is a safe and easily feasible surgical solution of gastric outlet obstruction induced by peptic ulcer. Good functional results and low rate of complications can be expected at a long-term follow-up.", publisher = "Vojnomedicinska akademija - Institut za naučne informacije, Beograd", journal = "Vojnosanitetski pregled", title = "Highly selective vagotomy and gastrojejunostomy in the treatment of peptic ulcer induced gastric outlet obstruction", pages = "1017-1013", number = "11", volume = "71", doi = "10.2298/VSP1411013R" }
Radovanović, N., Simić, A., Skrobić, O., Kotarac, M.,& Ivanović, N.. (2014). Highly selective vagotomy and gastrojejunostomy in the treatment of peptic ulcer induced gastric outlet obstruction. in Vojnosanitetski pregled Vojnomedicinska akademija - Institut za naučne informacije, Beograd., 71(11), 1013-1017. https://doi.org/10.2298/VSP1411013R
Radovanović N, Simić A, Skrobić O, Kotarac M, Ivanović N. Highly selective vagotomy and gastrojejunostomy in the treatment of peptic ulcer induced gastric outlet obstruction. in Vojnosanitetski pregled. 2014;71(11):1013-1017. doi:10.2298/VSP1411013R .
Radovanović, Nebojša, Simić, Aleksandar, Skrobić, Ognjan, Kotarac, Milutin, Ivanović, Nenad, "Highly selective vagotomy and gastrojejunostomy in the treatment of peptic ulcer induced gastric outlet obstruction" in Vojnosanitetski pregled, 71, no. 11 (2014):1013-1017, https://doi.org/10.2298/VSP1411013R . .