J Minim Invasive Surg.  2015 Jun;18(2):48-52. 10.7602/jmis.2015.18.2.48.

Laparoscopic Truncal Vagotomy and Gatrojejunostomy for Pyloric Stenosis

• Suh JW
• Jee YS

• KMID: 1794964
• DOI: http://doi.org/10.7602/jmis.2015.18.2.48

Abstract

PURPOSE
Peptic ulcer disease (PUD) remains one of the most prevalent gastrointestinal diseases and an important target for surgical treatment. Laparoscopy applies to most surgical procedures; however its use in elective peptic ulcer surgery, particularly in cases of pyloric stenosis, has not been popular. The aim of this study was to describe the role of laparoscopic surgery and an easily performed procedure for pyloric stenosis. We accordingly performed laparoscopic truncal vagotomy with gastrojejunostomy in 10 consecutive patients with pyloric stenosis.
METHODS
Data were collected prospectively from all patients who underwent laparoscopic truncal vagotomy with gastrojejunostomy from August 2009 to May 2014 and reviewed retrospectively.
RESULTS
A total of 10 patients underwent laparoscopic trucal vagotomy with gastrojejunostomy for peptic ulcer obstruction from August 2009 to May 2014 in oo university hospital. The mean age was 62.6 (+/-16.4) years old and mean BMI was 19.3 (+/-2.5) kg/m2. There were no conversions to open surgery and no occurrence of intra-operative complications. The mean operation time was 107 (90~130) minutes and blood loss was < 20 ml. Oral feeding was permitted for most patients on day 3 post operatively after upper gastrointestinal series to confirm no leakage or passage disturbance. The mean hospital stay was 7.3 days, the mean follow up duration was 19.8 (+/-17.2) months, and there was no mortality related to the operation.
CONCLUSION
Laparoscopic truncal vagotomy and gastrojejunostomy was a good, easily performed surgical choice for patients with duodenal ulcer stricture.

Keyword

Duodenal ulcer; Vagotomy; Laparoscopy; Gastroenterostomy

MeSH Terms

Constriction, Pathologic
Duodenal Ulcer
Follow-Up Studies
Gastric Bypass
Gastroenterostomy
Gastrointestinal Diseases
Humans
Laparoscopy
Length of Stay
Mortality
Peptic Ulcer
Prospective Studies
Pyloric Stenosis*
Retrospective Studies
Vagotomy
Vagotomy, Truncal*