The effect of proximal gastric vagotomy plus duodenoplasty on duodenogastric reflux.

Abstract

Alkaline reflux gastritis is a clinical syndrome that results from a mucosal injury by duodenal contents. In this study, the amount of duodenogastric reflux was assessed in patients who previously underwent proximal gastric vagotomy (PGV group; n = 11) and PGV plus duodenoplasty (PGV+D group; n = 10) as a treatment for duodenal ulcer. The control group (A) consisted of 11 healthy volunteers without endoscopic abnormalities. A quantitative index of duodenogastric reflux was obtained in each case by determining the percentage of the injected dose of 99mTechnetium-DISIDA that was recovered by continuous aspiration of gastric juice in fasting subjects. In the PGV group, the percentage of administered 99mTechnetium-DISIDA recovered from the stomach (median: 0.69%; range: 0.09%-3.61%) did not differ significantly (P > 0.05) from that of the PGV+D group (median: 0.49%; range: 0.09%-3.91%) and from that of the A group (median: 1.47%; range: 0.22%-3.01%). The results show that proximal gastric vagotomy plus duodenoplasty did not increase duodenogastric reflux.

• Authors: E N Morais, J I Andrade, C T Hsien, J Barbieri Neto, W V Vicente, R Ceneviva
• Journal: The American surgeon (Am Surg) Vol. 58 Issue 10 Pg. 647-50 (Oct 1992) ISSN: 0003-1348 [Print] United States
• PMID: 1416441 (Publication Type: Comparative Study, Journal Article)

Chemical References

• Imino Acids
• Organotechnetium Compounds
• Technetium Tc 99m Disofenin

Topics

• Duodenal Ulcer (complications, surgery)
• Duodenogastric Reflux (etiology, pathology, physiopathology)
• Duodenum (surgery)
• Female
• Humans
• Imino Acids
• Male
• Organotechnetium Compounds
• Reference Values
• Reoperation
• Technetium Tc 99m Disofenin
• Vagotomy, Proximal Gastric