The Effect of Truncal Vagatomy And Two Different Pyloroplasty Procedures on Gastric Emptying


Abstract views: 31 / PDF downloads: 29

Authors

  • Avni Gökalp Gaziantep Üniversitesi Tıp Fakültesi Genel Cerrahi Anabillim Dalı, Gaziantep
  • Zeki Çelen Gaziantep Üniversitesi Tıp Fakültesi Nükleer Tıp Anabilim Dalı, Gaziantep

DOI:

https://doi.org/10.58600/eurjther.1999-10-1-2-1503-arch

Keywords:

Gastric emptying, radionuclid studies, pyloroplasty

Abstract

Solid and liquid radionuclid gastric emptying studies were conducted in 40 male Sprague-Dawley rats. in ten animals, bilateral truncal vagotomy+ Heineke Mikulicz pyloroplasty was performed and in ten animals bilateral truncal vagotomy+ Cassimally pyloroplasty was carried out. Twenty animals acted as controls in whom ten were unoperated group and in ten only a laparotomy was performed. Gastric emtying was measured weekly in first 4 week and monthly tor 4 months both in experiment and control groups. Gastric emptying was unchanged in unoperated controls. Animals in which a laparatomy was performed had delayed solid and liquid emptying tor the first 4 weeks after operation (p<0.05). Following Heineke- Mikuklicz pyloroplasty, liquid emptying was accelerated tor 16 weeks (p<0.05). Solid ernptying was delayed tor 16 weeks. Animals subjected to Cassimally pyloroplasty, similar to tormer group, showed an acceleration in liquid emptying tor 16 weeks. Significant gastric retention of solids also occured tor 16 weeks in this group (p<0.05).

Metrics

Metrics Loading ...

References

Oray JG, Roberts AK.: Definitive emergency treatment of perforated duodenal ulcer. Surg Gynecol Obstet 1976; 143 :890-894.

Hollinger A, Largiader F.: Therapeutisches Prinzip: Pyloroplastic und Pylorusdilatation. In: Ulcustherapie. AL Blum, JR Siewert (eds). Berlin, Heidelberg, New York, Springer Verlag 1982; 398-417.

Siewert JR, Hölscher AH:. 20 Jahre Vagotomie: Indikation und Verfahrenswahl-Ulcus Duodeni. Zentralblatt Chir 1986; 111: 953.

Gollinger JC, Feather DB, Hail R:. Several standart elective operations for duodenal ulcer: Ten to sixteen years clinical results. Ann Surg; 1979; 189: 18-21.

Weinberg JA, Stempien SJ, Movius HJ, Dagradi AE:. Vagotomy and pyloroplasty in the treatment of duodenal ulcer. Anı J Surg 1956; 92: 402-205.

Cassimally KAI:. A technique of pyloroplasty. Br J Surg 1970; 57: 287-288.

Mac Gregor IL, Martin P, Meyer JH:. Gastric emptying of solid food in normal man and after subtotal gastrectomy and truncal vagotomy with pyloroplasty. Gastroenterology 1977; 72: 206-211.

Mayer EA, Thomson JB, Jehn D, Reedy T, Elashoff J, Meyer JH:. Gastric emptying and sieving of solid food and pancreatic and biliary secretions after solid meals in patients with nonresective ulcer surgery. Gastroenterology 1984; 87: 1264-1271.

Binswanger RO, Aeberhard P, Walther M, Vock P:. Effect of pyloroplasty on gastric emptying: Long term results obtained with a labeled test meal 14-43 months after operation. Br J Surg 1978; 65: 27-29.

Calabuig R, Carrio I, Mones J, Puig LC, Vilardel F:. Gastric emptying after truncal vagotomy and pyloroplasty. Scand J Gastroenterol 1988; 23: 659-664.

Donovan IA, Sergi M, Harding LK, AlexanderWilliams J:. The effects on gastric emptying of proximal gastric vagotomy,and truncal vagotomy and pyloroplasty. Nucl Med Commun 1984; 6: 418-424.

Donavan IA, Drumm J, Harding LK, AlexanderWilliams J:. Effect of Roux-en-Y Reconstruction on the gastric emtying of a solid meal. Br J Surg 1987; 74: 491- 492.

Perez-Avila CA, Duthie HL:. Gastric emptying in control subjects and patients with duodenal ulcer before and after vagatomy Gut 1976; 17: 542-550.

White CM, Poxon V, Alexander-Williams J: The importance of the distal stomach in gastric emptying of liquids in man. Surg Gastroenterol 1984; 3: 13-20.

Houghton, AD, Liepins P, Clarke SM, Mason RJ:. Effect of gastric resection, Roux-en-Y diversion and vagatomy on gastric emptying in the rat. Br J Surg 1994; 81: 75-80. 1994.

Vogel SB, Vair B, Woodward ER:. Alterations in gastrointestinal emptying of 99m-Technetium labeled solids following sequential antrectomy, truncal vagotomy and Roux-en-Y gastroenterostomy. Ann Surg 1983; 193: 506-515.

Houghton A, Liepins P, Ailen S, Clarke S, Mason R:. Sequential gastric emptying in the rat: a new technique. Surg Res Comm 1992; 13: 177-185.

Maerz L, Sankaran H, Scharpf S, Deveney C:. Effect of caloric content and composition of a liquid meal on gastric emptying in the rat. Am J Physiol. 267 (regulatory integrative comp.physiol.36): 1994;R 1163-R 1167.

Cheng G, Hocking M, Vogel S, Sninsky C:. The effect of Roux-en-Y diversion on gastric and Roux-Limb emptying in a rodent model. Am J Surg 1995; 169: 618- 621.

Chen T, Doong M, Chang F, Lee S, Wang P:. Effects of sex steroid hormones on gastric emptying and gastrointestinal transit in rats. Anı J Physiol. 268(Gastrointes. Liver Physiol.31).1995; G 171-Gl 76.

Nilsson F:. Effect of truncal vagotomy and pyloroplasty on gastric evacuation and small bowel propulsion in the rat. Acta Chirurg Scand 1973; 139: 731-734.

Nilsson F, Jung B:. Gastric evacuation and small bowel propulsion after laparatomy. Acta Chirurg Scand 1973; 139: 724-730.

Gustavsson S, Hemmingsson A, Jung B, Nilsson F, Wadin K:. Gastric emptying in duodenal ulcer patients before and after truncal vagotomy with pyloroplasty and parietal celi vagotomy. Acta Chirurg Scad 1978; 144: 379-385.

Gleysteen J, Burdeshaw JA, Hallenbeck GA:. Gastric emptying of liquids after different vagotomies and pyloroplasty. Surg Gynecol Obstet 1976; 142: 41-46.

Faxen A, Berger T, Kewenter I, Kock NG:. Gastric emptying after different surgical procedures for duodenal ulcer. Scand J Gastroenterol 1977; 12: 983-987.

Yamagishi T, Debas HT:. Control of gastric emptying: interaction of the vagus and pyloric antrum. Ann Surg 1978; 187: 91-94.

Davies WT, Griffith GH, Owen GM, Shields R:. The effect of vagotomy and drainage operations on the rate of gastric emptying in duodenal ulcer patients. Br J Surg 1974; 61: 509-515.

Lukasiewicz S, Jonderko K:. A comparative study on gastric emptying and secretory status in the early postoperative period after truncal vagotomy with two pyloroplasty variants performed for peptic ulcer disease. Tokai J Exp Clin Med 1990; 15: 467-476.

Downloads

Published

1999-01-01

How to Cite

Gökalp, A., & Çelen, Z. (1999). The Effect of Truncal Vagatomy And Two Different Pyloroplasty Procedures on Gastric Emptying. European Journal of Therapeutics, 10(1, 2), 18–23. https://doi.org/10.58600/eurjther.1999-10-1-2-1503-arch

Issue

Section

Original Articles