Concepts in Surgery of the Stomach and Duodenum

Chapter

Abstract

The most common indications for gastric operation are ulcer disease, neoplasm, morbid obesity, and the need for chronic gastric intubation (gastrostomy). This chapter discusses important concepts relevant to the choice of operation for these common indications. Included are brief discussions on the current role of vagotomy in the management of peptic ulcer disease, the choice of drainage procedure after gastric resection, and the management of postoperative complications.

Keywords

Obesity Catheter Aspirin Nicotine Anemia 

Notes

Acknowledgment

This chapter was contributed by Michael W. Grabowski in the previous edition.

References

  1. Aronow JS, Matthews JB, Garcia-Aguilar J, et al. Isoperistaltic jejunal interposition for intractable postgastrectomy alkaline reflux gastritis. J Am Coll Surg. 1995;180:648.Google Scholar
  2. Boey J, Lee NW, Koo J, et al. Immediate definitive surgery for perforated duodenal ulcers: a prospective controlled trial. Ann Surg. 1982;196:338–44.PubMedCrossRefGoogle Scholar
  3. Bonenkamp JJ, Hermans J, Sasako M, van de Velde CJH. Extended lymph node dissection for gastric cancer. N Engl J Med. 1999;340:908.PubMedCrossRefGoogle Scholar
  4. Bozzetti F, Marubini E, Bonafanti G, et al. Subtotal versus total gastrectomy for gastric cancer: five-year survival rates in a multicenter randomized Italian trial: Italian Gastrointestinal Tumor Study Group. Ann Surg. 1999;230:170.PubMedCrossRefGoogle Scholar
  5. Calvet X, Vergara M, Brullet E, Gisbert JP, Campo R. Addition of a second endoscopic treatment following epinephrine injection improves outcome in high-risk bleeding ulcers. Gastroenterology. 2004;126(2):441–50.PubMedCrossRefGoogle Scholar
  6. Cohen F, Valleur P, Serra J, et al. Relationship between gastric acid secretion and the rate of recurrent ulcer after parietal cell vagotomy. Ann Surg. 1993;217:253–9.PubMedCrossRefGoogle Scholar
  7. Csendes A, Maluenda F, Braghetto I, et al. Prospective randomized study comparing three surgical techniques for the treatment of gastric outlet obstruction secondary to duodenal ulcer. Am J Surg. 1993;166(1):45–9.PubMedCrossRefGoogle Scholar
  8. Cuschieri A, Fayers P, Fielding J, et al. Postoperative morbidity and mortality after D1 and D2 resections for gastric cancer: preliminary results of the MRC randomized controlled surgical trial. Lancet. 1996;347:995.PubMedCrossRefGoogle Scholar
  9. de Bree E, Charalampakis V, Melissas J, et al. The extent of lymph node dissection for gastric cancer: a critical appraisal. J Surg Oncol. 2010;102(6):552–62.PubMedCrossRefGoogle Scholar
  10. Emas S, Grupcev G, Eriksson B. Ten-year follow-up of a prospective, randomized trial of selective proximal vagotomy with ulcer excision and partial gastrectomy with gastroduodenostomy for treating corporeal gastric ulcer. Am J Surg. 1994;167(6):596–600.PubMedCrossRefGoogle Scholar
  11. Forstner-Barthell AW, Murr MM, Nitecki S, et al. Near-total completion gastrectomy for severe postvagotomy gastric stasis: analysis of early and long-term results in 62 patients. J Gastrointest Surg. 1999;3(1):15–21; discussion 21–3.PubMedCrossRefGoogle Scholar
  12. Gertler R, Rosenberg R, Feith M, et al. Pouch vs. no pouch following total gastrectomy: meta-analysis and systematic review. Am J Gastroenterol. 2009;104(11):2838–51.PubMedCrossRefGoogle Scholar
  13. Harbison SP, Dempsey DT. Peptic ulcer disease. Curr Probl Surg. 2005;42(6):346–454.PubMedCrossRefGoogle Scholar
  14. Harju E. Metabolic problems after gastric surgery. Int Surg. 1990;75(1):27–35.PubMedGoogle Scholar
  15. Harrison LE, Karpeh MS, Brennan MF. Proximal gastric cancers resected via a transabdominal only approach: results and comparisons to distal adenocarcinoma of the stomach. Ann Surg. 1997;225:678.PubMedCrossRefGoogle Scholar
  16. Hartgrink HH, Bonenkramp HJ, van de Velde CJH. Influence of surgery on outcomes in gastric cancer. Surg Oncol Clin N Am. 2000;9:97–117.PubMedGoogle Scholar
  17. Ho MY, Blanke CD. Gastrointestinal stromal tumors: disease and treatment update. Gastroenterology. 2011;140(5):1372–6.PubMedCrossRefGoogle Scholar
  18. Jordan PH, Thornby J. Perforated pyloroduodenal ulcers: long-term results with omental patch closure and parietal cell vagotomy. Ann Surg. 1995;221:479–88.PubMedCrossRefGoogle Scholar
  19. Kim HH, Hyung WJ, Cho GS, et al. Morbidity and mortality of laparoscopic gastrectomy versus open gastrectomy for gastric cancer: an interim report – a phase III multicenter, prospective, randomized Trial (KLASS Trial). Ann Surg. 2010;251(3):417–20.PubMedCrossRefGoogle Scholar
  20. Kingham TP, DeMatteo RP. Multidisciplinary treatment of gastrointestinal stromal tumors. Surg Clin N Am. 2009;89(1):217–33.PubMedCrossRefGoogle Scholar
  21. Kitamura K, Nishida S, Ichikawa D, et al. No survival benefit from combined pancreaticosplenectomy and total gastrectomy for gastric cancer. Br J Surg. 1999;86:119.PubMedCrossRefGoogle Scholar
  22. Lim RB, Blackburn GL, Jones DB. Benchmarking best practices in weight loss surgery. Curr Probl Surg. 2010;47(2):79–174.PubMedCrossRefGoogle Scholar
  23. Malagelada JR, Phillips SF, Shorter RG, et al. Postoperative reflux gastritis: pathophysiology and long-term outcome after Roux-en-Y diversion. Ann Intern Med. 1985;103:178.PubMedCrossRefGoogle Scholar
  24. McCulloch P, Nita ME, Kazi H, et al. Extended versus limited lymph nodes dissection technique for adenocarcinoma of the stomach. Cochrane Database Syst Rev. 2003;(4):CD001964. PMID: 14583942; 2004;(4):CD001964.Google Scholar
  25. McCulloch P, Nita ME, Kazi H, et al. Extended versus limited lymph nodes dissection technique for adenocarcinoma of the stomach. Cochrane Database Syst Rev. 2004;(4):CD001964. PMID: 15495024; 2003;(4):CD001964.Google Scholar
  26. Miedema BW, Kelly KA. The Roux operation for postgastrectomy syndromes. Am J Surg. 1991;161:256.PubMedCrossRefGoogle Scholar
  27. Millat B, Fingerhut A, Borie F. Surgical treatment of complicated duodenal ulcers: controlled trials. World J Surg. 2000;24:299.PubMedCrossRefGoogle Scholar
  28. Ng EK, Lam YH, Sung JJ, et al. Eradication of Helicobacter pylori prevents recurrence of ulcer after simple closure of duodenal ulcer perforation: randomized controlled trial. Ann Surg. 2000;231(2):153–8.PubMedCrossRefGoogle Scholar
  29. Patel SH, Kooby DA. Gastric adenocarcinoma surgery and adjuvant therapy. Surg Clin North Am. 2011;91(5):1039–77.PubMedCrossRefGoogle Scholar
  30. Ritchie Jr WP. Alkaline reflux gastritis: an objective assessment of its diagnosis and treatment. Ann Surg. 1980;192:288.PubMedCrossRefGoogle Scholar
  31. Rohss K, Wilder-Smith C, Bokelund-Singh S, et al. Acid control cannot be improved with a modified-release formulation of a proton pump inhibitor compared with twice-daily dosing of the conventional formulation. Dig Dis Sci. 2010;55(12):3423–9.PubMedCrossRefGoogle Scholar
  32. Schirmer BD. Gastric atony and the Roux syndrome. Gastroenterol Clin North Am. 1994;23:327–43.PubMedGoogle Scholar
  33. Smith BR, Schauer P, Nguyen NT. Surgical approaches to the treatment of obesity: bariatric surgery. Med Clin North Am. 2011;95(5):1009–30.PubMedCrossRefGoogle Scholar
  34. Speicher JE, Thirlby RC, Burggraaf J, Kelly C, Levasseur S. Results of completion gastrectomies in 44 patients with postsurgical gastric atony. J Gastrointest Surg. 2009;13(5):874–80.PubMedCrossRefGoogle Scholar
  35. Vogel SB, Woodward ER. The surgical treatment of chronic gastric atony following Roux-Y diversion for alkaline reflux gastritis. Ann Surg. 1989;209:756–61.PubMedCrossRefGoogle Scholar
  36. Vogel SB, Drane WE, Woodward ER. Clinical and radionuclide evaluation of bile diversion by Braun enteroenterostomy: prevention and treatment of alkaline reflux gastritis: an alternative to Roux-en-Y diversion. Ann Surg. 1994;219:458.PubMedCrossRefGoogle Scholar
  37. Wang YR, Richter JE, Dempsey DT. Trends and outcomes of hospitalizations for peptic ulcer disease in the United States, 1993 to 2006. Ann Surg. 2010;251(1):51–8.PubMedCrossRefGoogle Scholar
  38. Wu CW, Hsiung CA, Lo SS, et al. Nodal dissection for patients with gastric cancer: a randomized controlled trial. Lancet Oncol. 2006;7(4):309–15.PubMedCrossRefGoogle Scholar
  39. Yusuf TE, Brugge WR. Endoscopic therapy of benign pyloric stenosis and gastric outlet obstruction. Curr Opin Gastroenterol. 2006;22(5):570–3.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  1. 1.Department of SurgeryHospital of the University of PennsylvaniaPhiladelphiaUSA

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