Title
Gastric emptying for solids in patients with duodenal ulcer before and after highly selective vagotomy Gastric emptying for solids in patients with duodenal ulcer before and after highly selective vagotomy
Author
Faculty/Department
Faculty of Medicine and Health Sciences
Publication type
article
Publication
Hagerstown, Md ,
Subject
Human medicine
Source (journal)
Digestive diseases and sciences. - Hagerstown, Md
Volume/pages
35(1990) :3 , p. 310-316
ISSN
0163-2116
Carrier
E
Target language
English (eng)
Full text (Publishers DOI)
Affiliation
University of Antwerp
Abstract
In a series of 31 duodenal ulcer patients (23 males and 8 females), who underwent a highly selective vagotomy, gastric emptying characteristics of a solid meal, labeled with [su99mTc]stannous colloid, were assessed before, two weeks and six months after operation. The clinical diagnosis was confirmed by endoscopy and x-ray; failure of treatment with H2 antagonists or antacids during 118 (mean 5) years was the direct indication for operative treatment. A temporary delay in gastric emptying is noted two weeks after operation (T 1/2: 124 vs 57 min). After six months, gastric emptying time has practically normalized. It appears that this is the result of the preservation of the antropyloric vagal nerve supply. In these patients, a 10% recurrence rate is noted, comparable to the results in the literature. Highly selective vagotomy proves to be a safe and effective procedure with few side effects. It does not impair gastric motility.
Handle