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Comparison of laparoscopic truncal vagotomy with gastrojejunostomy and open surgery in peptic pyloric stenosis

Abstract

Background

Little is known about the advantages of laparoscopic truncal vagotomy with gastrojejunostomy (LTVGJ) over open truncal vagotomy with gastrojejunostomy (OTVGJ) for peptic pyloric stenosis (PPS). This study aimed to highlight the role of minimally invasive surgery in the form of LTVGJ for PPS.

Methods

From March 1999 to October 2005, 21 patients with PPS underwent LTVGJ (n = 13) and OTVGJ (n = 8). We analyzed intraoperative and postoperative outcomes retrospectively.

Results

Two groups had similar demographic characteristics. Significantly shorter operating time, hospital stay, time to presence of bowel sounds, and time to tolerate a diet were the advantages of LTVGJ, while blood loss was higher in OTVGJ. There were significant differences in weight gain between the two groups after surgery during follow-up.

Conclusions

This study suggests that LTVGJ is a feasible technique, and intermediate follow-up reveals good symptomatic results when used for PPS.

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Correspondence to Woo Jin Hyung.

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Kim, SM., Song, J., Oh, S.J. et al. Comparison of laparoscopic truncal vagotomy with gastrojejunostomy and open surgery in peptic pyloric stenosis. Surg Endosc 23, 1326–1330 (2009). https://doi.org/10.1007/s00464-008-0160-1

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Keywords

  • Laparoscopy
  • Acid peptic disease
  • Truncal vagotomy
  • Gastrojejunostomy