Contribution to the anterior seromyotomy and posterior truncal vagotomy in the treatment of chronic duodenal ulcer. The authors report a technique of anterior seromyotomy of the gastric lesser curvature with posterior truncal vagotomy for the surgical treatment of chronic duodenal ulcer disease. This technique offers more advantages than the highly selective vagotomy: it is an easier operation to perform, less time consuming and reproducible. Our results are similar to those following highly selective vagotomy.
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Laparoscopic management of acid peptic disease.
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Background: Despite successful medical treatment to reduce acid hypersecretion and eradicate Helicobacter pylori, surgery still plays an important role in the management of complicated peptic ulcer disease. Almost all types of conventional operations available for ulcer disease have been successfully performed by the laparoscopic approach and this has become the preferred approach in tertiary centers for operative management of acid peptic disease.
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[Oximetry of stomach: comparative study between proximal gastric vagotomy and anterior lesser curve seromyotomy with posterior truncal vagotomy in chronic duodenal ulcer].
Rev Assoc Med Bras (1992)
May 2003
Universidade Federal de São Paulo, Escola Paulista de Medicina (UNIFESP-EPM), Brasil.
Unlabelled: Delayed gastric emptying of solid food is greater after proximal gastric vagotomy (PGV) than after anterior lesser curve seromyotomy with posterior truncal vagotomy (ASPTV) and may be due to the hypoxia in the gastric wall and mainly in the gastric pacemaker.
Purpose: To verify if operative devascularization of the lesser curve and the gastric fundus could affect the entire stomach and particularly the pacemaker area.
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Proximal gastric diverticulum after anterior lesser curve seromyotomy.
Dig Surg
September 2001
Department of Gastroenterology, Manchester Royal Infirmary, Manchester, UK.
A case of gastric diverticulum arising in a patient who had previously undergone anterior lesser curve seromyotomy for chronic duodenal ulcer disease is reported. The endoscopic appearance of this lesion is described and the potential mechanisms of causation are reviewed. The clinical relevance of this rare finding is examined with emphasis on the need for an index of awareness of this abnormality on the part of endoscopists and in particular, on the risks of injudicious biopsy of such a diverticulum.
View Article and Find Full Text PDF[Perforated duodenal ulcer: laparoscopic treatment of perforation and ulcerous disease].
Ann Chir
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Service des urgences chirurgicales viscérales, CHU Ibn Rochd, Casablanca, Maroc.
Study Aim: The aim of this retrospective study was to report a continuous series of 44 perforated duodenal peptic ulcers operated on through laparoscopic approach with curative treatment of the peptic ulcer disease for socioeconomic purpose.
Patients And Method: From February 1995 to May 1996, 44 patients were operated on laparoscopically. There were 42 men and two women (mean age: 36 years).
Proximal gastric vagotomy: does it have a place in the future management of peptic ulcer?
World J Surg
March 2000
Department of Surgery, University Surgical Unit, The Royal Hallamshire Hospital, Glossap Road, Sheffield S10 2JF, UK.
Proximal gastric vagotomy (PGV) is a modification of truncal vagotomy, which was introduced by Dragstedt for the treatment of duodenal ulcer (DU) in 1943. It is a technically demanding operation; but when performed by an experienced surgeon, it is safe and gives a cure rate for DU of more than 90%, with minimal side effects. The operation permanently alters the natural history of the disease and may be used for gastric ulcer (GU), with ulcer excision; but it is not as effective.
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