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Analysis of 116 Bilateral Truncal Vagotomy Drainage Surgery

Year 1976, Volume: 29 Issue: 4, 887 - 906, 31.12.1976

Ertuğrul Karahüseyinoğlu

Abstract

Nisan 1969 ve Aralık 1974 tarihleri ​​arasında duodenum ülseri hastalarına uygulanan bilateral trunkal vagotomi ve drenaj prosedürlerinin sonuçlarını inceledik. Bu hastalara anket gönderildi ve 116 hastadan anket aldık. 116 hastanın ameliyat öncesi, ameliyat ve ameliyat sonrası (erken ve geç) sonuçları değerlendirildi ve bu sonuçlar literatürdeki benzer prosedürlerle karşılaştırıldı.

Bizim vakalarımızda mortalite oranı %1'in altındaydı; tekrarlama %5,2, kabızlık %4,3, şiddetli ishal %3,4, postvagotomik safra kesesi hastalığı %3,4 idi ve disfaji ve dumping'in önemli bir sorun olmayacağı gösterildi1. Geç postoperatif dönem vakaların %90'ında başarılı oldu.

Keywords

bilateral trunkal vagotomi duodenum ülseri genel cerrahi

References

  • 1 - AMDRUP, E., JENSEN, H. E.: One hundred patients five years after selective gastric vagotomy and drainage for duodenal ulcer. Surgery, 74: 321, 1973.
  • 2 - ARER, K., SINAV, Trunküler vagotomi komplikasyonu olarak gö- rülen bir tasll kolesistit vakasl. Mavi Bülten, 3: 25, 1971.
  • 3 - BALLINGER, F. W.: The extragastric effect of vagotomy. Surg. Clin. N. Amer., 46: 455, 1966.
  • 4 -BAYKAN, R.: Vagotomi ve problemleri. Haydarpa€a Num. Hast. TIP Der., 7:268, 1969. 5 - BURGE, H., HUTCHISON, J.S.F., •RUDICK, ry., TOMPKIN, A.M.B.t Selective nerve section in the prevention of post-vagotomy diarrhoea. Lan cet, 1: 577, 1964.
  • 6 - CLAVE, B.A., GASPAR, M. R.: Incidence of gallbladder diseases after vagotomy. Amer. J. Surg„ 118: 169, 1969.
  • 7 - CONDON, J.R., SULEMAN,M. 1.: Cholestyramine and diabetic and postvagotomy diarrhoea. Brit. med. ..J., 4: 423, 1973.
  • 8 - COX, A. G., BOND, M. R.: Bowel habit after vagotomy and gastrojejunostomy. Brit. med. J., 1: 460, 1964.
  • 9 - COX, •A. G.: Comparison of symptoms after vagotomy with gastrojejunostomy and partial gastrectomy. Brit. med. J., 1: 288, 1968. 10 - DRAGSTEDT, L. R.: Vagotomy in the surgical treatment of peptic ulcer. Surg. Clin. N. Amer., 46: 1153, 1966.
  • 11 - DRAGSTEDT, L. R.: The physiology of gastric secretion . and its relation to surgery for gastric and duodenal ulcers. Surgery Annual, series editor Philip Cooper, 1969.
  • 12 DRAGSTEDT 11, L. R., LULU, D. J.: Truncal vagotomy and pyloroplasty. Amer. J. Surg., 128: 344, 1974.
  • 13 —EISENBERG, M. M , WOODWARD, E. R., CARSON, T. J., DRAGSTEDT, L. R.: Vagotomy and drainage procedure for duodenal ulcer. The results of ten years experience. Ann. Surg., 170: 317, 1969.
  • 14 — FAWCET, A. N., JOHNSTON, D, DUNIE, H. L.; Revagotomy for re current ulcer after vagotomy and drainage for duodenal ulcer. Brit. J. surg., 56: 111, 1969.
  • 15 — FROHN, M. Jl, DESAI, S., BURGE, H.: Bilateral selective vagotomy in prevention of post-vagotomy diarrhoea. Brit. med. J., 1: 481, 1968.
  • 16 — FRY, w.J., THOMPSON, N. W.: Vagotomy and pyloroplasty. for duodenal ulcer. Surg. Clin. N. •Amer., 46: 359, 1966.
  • 17 — GOLIGHER, J. C, PULVERTAFT, C. N., WATKINSON, G.: Controlled trial of vagotomy and gastroenterostomy, vagotomy and antrectomy, and subtotal gastrectomy in the elective treatment of duodenal ulcer. Brit. med. J., 1: 455, 1964.
  • 18 — HENDRY, W. G., ABDULLA, -K.H.: Diarrhoea after vagotomy. Brit. J.Surg., 56: 1, 1969.
  • 19 — HOEFFEL, J.C., BENOIT, D, FAYS, J., GOUCHER, P., MOELLER, R.: Gastric stasis after vagotomy and pyloroplasty. Amer. J. Surg., 122: 365, 1971. 20 - HOERR, S. O., WARD, J. T. : Late results of three operations for chronic duodenal ulcer: Vagotomy-gastrojejunostomy, vagotomy-hemigast rectomy, vagotomyrpyloroplasty. Interim report. .Ann. Surg., 176: 403,
  • 21 — HOLLINSHEAD, H .Vagus nerves and esophageal plexus. Anatomy for Surgeons, A. Hoeber-Harper Book., 2: 181, 1961.
  • 22 — HUMPREY, C. S., JOHNSTON, D, WALKER, B. E., PULVERTAFT, C. N.: Incidence of dumping after truncal vagotomy and selective vagotomy with pyloroplasty and highly selective vagotomy without drainage procedure. Brit. med., J. 3: 785, 1972.
  • 23 — JORDAN; P. H.' CONDON, R. E.: A prospective evaluation of vagotomypyloroplasty, and vagotomy-antrectomy for treatment of duodenal ulcer. Ann. Surg., 172: 547,.1970.
  • 24 — MASON, M. C, CLARK,C. G.: Surgery for duodenal ulcer. Brit. J. Surg., 56: 815, 1969.
  • 25 NIELSEN, J. R.: Development of cholelithiasis following vagotomy. Surgery, 56: 909, 1964.
  • 26 — OCHSNER, A., ZEHNDER, P. R., TRAMMELL, S. W.: The surgical treatment of peptic ulcer. Surgery, 67: 1017, 1970.
  • 27 — POSTLETHWAIT, R. W.: 5 year follow-up results of operations for duodenal ulcer. Surg. Gynec. Obst., 137: 387, 1973.
  • 28 — REGAN, J. F., SCHMUTZER, K. J., STEMMER, E. A.: Procedures of value for prevention and cure of dumping after vagotomy and pyloro plasty. Amer. J. Surg.,124: 279, 1972.
  • 29 — RUCKLEY, C. W. A., FALCONER, W. P., SMITH, A.N.: Selective vagotomy. A review of the anatomy and technique in 100 patients. Brit. J. Surg., 57: 245, 1970.
  • 30 — RUDICK, J., HUTCHISON, J.S.F.: Effects of vag•al nerve section on the biliary system. Lancet, 1: 579, 1964.
  • 31 — SAWYERS, J. L., SCOTT, H.W. EDWARDS, W. H., SHULL, H.J., LAVV, D.: Comparative. studies of the clinical effect of truncal and selective gastric vagotomy. Amer. J. Surg., 115: 165, 1968.
  • 32 — SKANDALAKIS, J. E., ROWE, J.s., GRAY, S. W., ANDROULAKIS, J.: Identification of vagal structures at the esophageal hiatus. Surgery, 75: 233, 1974.
  • 33 — TANNER, N. C.: Management of peptic ulcer. Ann. R. Coll. Surg. Eng., 37: 150, 1965.
  • 34 TANNER, N. C: Selection of the operation for duodenal ulcer. Gut., 10:! 170, 1969.
  • 35 • THOMPSON, E.W., READ, R. C.: Long-term randomized prospective comparison of Finney and Heineke-Mikulicz pyloroplasty in patients having vagotomy for peptic ulceration. Amer. J. Surg., 129: 78, 1975.
  • 36 — TINKER, J., COX, A. G.: Gallbladder function after vagotomy. Brit. J. Surg., 56: 779, 1969.
  • 37 — TOVEY, F. 1.: A comparsion of Polya gastrectomy, total and selective vagotomy, and of pyloroplasty and gastrojejunostomy. Brit. J. Surg., 56: 281, 1969.
  • 38 — VISICK, A. H.: Measured radical gastrectomy, Lancet, 1: 505, 1948,
  • 39 — WHELDON, E. J., VENABLES, C. W., JOHNSTON, 1. D: Late metabolic sequelae of vagotomy and gastroenterostomy. Lancet, 1: 437, 1970.
  • 40 — WISE, L., BALLINGER, W. F.: The elective surgical treatment of chro. nic duodenal ulcer. Surgery, 76: 811, 1974.

116 Bilateral Trunkal Vagotomi Drenaj Ameliyatının Analizi

Year 1976, Volume: 29 Issue: 4, 887 - 906, 31.12.1976

Ertuğrul Karahüseyinoğlu

Abstract

We have reviewed the results of bilateral truncal vagotomy . and drainage procedures applied to the duodenal ulcer patients, during April 1969 and December 1974. Questionnaire to these patients has been sent and we have received from 116 patients. The preoperative, operative, and postoperative (early and late) results of the. 116 patients were evaluated and these; results were compared similar procedures in the. literature.

In our cases, mortality rate was under 1 percent; recurrence 5.2 . percent, constipation 4.3 percent, severe diarrhoea 3.4 percent, postvagotomic gallbladder disease 3.4 percent and it has been shown that dysphagy and dumping would not be a significant proble1Th The late postoperative period was successful in 90 percent of the cases.

Keywords

bilateral truncal vagotomy duodenal ulcer general surgery

References

  • 1 - AMDRUP, E., JENSEN, H. E.: One hundred patients five years after selective gastric vagotomy and drainage for duodenal ulcer. Surgery, 74: 321, 1973.
  • 2 - ARER, K., SINAV, Trunküler vagotomi komplikasyonu olarak gö- rülen bir tasll kolesistit vakasl. Mavi Bülten, 3: 25, 1971.
  • 3 - BALLINGER, F. W.: The extragastric effect of vagotomy. Surg. Clin. N. Amer., 46: 455, 1966.
  • 4 -BAYKAN, R.: Vagotomi ve problemleri. Haydarpa€a Num. Hast. TIP Der., 7:268, 1969. 5 - BURGE, H., HUTCHISON, J.S.F., •RUDICK, ry., TOMPKIN, A.M.B.t Selective nerve section in the prevention of post-vagotomy diarrhoea. Lan cet, 1: 577, 1964.
  • 6 - CLAVE, B.A., GASPAR, M. R.: Incidence of gallbladder diseases after vagotomy. Amer. J. Surg„ 118: 169, 1969.
  • 7 - CONDON, J.R., SULEMAN,M. 1.: Cholestyramine and diabetic and postvagotomy diarrhoea. Brit. med. ..J., 4: 423, 1973.
  • 8 - COX, A. G., BOND, M. R.: Bowel habit after vagotomy and gastrojejunostomy. Brit. med. J., 1: 460, 1964.
  • 9 - COX, •A. G.: Comparison of symptoms after vagotomy with gastrojejunostomy and partial gastrectomy. Brit. med. J., 1: 288, 1968. 10 - DRAGSTEDT, L. R.: Vagotomy in the surgical treatment of peptic ulcer. Surg. Clin. N. Amer., 46: 1153, 1966.
  • 11 - DRAGSTEDT, L. R.: The physiology of gastric secretion . and its relation to surgery for gastric and duodenal ulcers. Surgery Annual, series editor Philip Cooper, 1969.
  • 12 DRAGSTEDT 11, L. R., LULU, D. J.: Truncal vagotomy and pyloroplasty. Amer. J. Surg., 128: 344, 1974.
  • 13 —EISENBERG, M. M , WOODWARD, E. R., CARSON, T. J., DRAGSTEDT, L. R.: Vagotomy and drainage procedure for duodenal ulcer. The results of ten years experience. Ann. Surg., 170: 317, 1969.
  • 14 — FAWCET, A. N., JOHNSTON, D, DUNIE, H. L.; Revagotomy for re current ulcer after vagotomy and drainage for duodenal ulcer. Brit. J. surg., 56: 111, 1969.
  • 15 — FROHN, M. Jl, DESAI, S., BURGE, H.: Bilateral selective vagotomy in prevention of post-vagotomy diarrhoea. Brit. med. J., 1: 481, 1968.
  • 16 — FRY, w.J., THOMPSON, N. W.: Vagotomy and pyloroplasty. for duodenal ulcer. Surg. Clin. N. •Amer., 46: 359, 1966.
  • 17 — GOLIGHER, J. C, PULVERTAFT, C. N., WATKINSON, G.: Controlled trial of vagotomy and gastroenterostomy, vagotomy and antrectomy, and subtotal gastrectomy in the elective treatment of duodenal ulcer. Brit. med. J., 1: 455, 1964.
  • 18 — HENDRY, W. G., ABDULLA, -K.H.: Diarrhoea after vagotomy. Brit. J.Surg., 56: 1, 1969.
  • 19 — HOEFFEL, J.C., BENOIT, D, FAYS, J., GOUCHER, P., MOELLER, R.: Gastric stasis after vagotomy and pyloroplasty. Amer. J. Surg., 122: 365, 1971. 20 - HOERR, S. O., WARD, J. T. : Late results of three operations for chronic duodenal ulcer: Vagotomy-gastrojejunostomy, vagotomy-hemigast rectomy, vagotomyrpyloroplasty. Interim report. .Ann. Surg., 176: 403,
  • 21 — HOLLINSHEAD, H .Vagus nerves and esophageal plexus. Anatomy for Surgeons, A. Hoeber-Harper Book., 2: 181, 1961.
  • 22 — HUMPREY, C. S., JOHNSTON, D, WALKER, B. E., PULVERTAFT, C. N.: Incidence of dumping after truncal vagotomy and selective vagotomy with pyloroplasty and highly selective vagotomy without drainage procedure. Brit. med., J. 3: 785, 1972.
  • 23 — JORDAN; P. H.' CONDON, R. E.: A prospective evaluation of vagotomypyloroplasty, and vagotomy-antrectomy for treatment of duodenal ulcer. Ann. Surg., 172: 547,.1970.
  • 24 — MASON, M. C, CLARK,C. G.: Surgery for duodenal ulcer. Brit. J. Surg., 56: 815, 1969.
  • 25 NIELSEN, J. R.: Development of cholelithiasis following vagotomy. Surgery, 56: 909, 1964.
  • 26 — OCHSNER, A., ZEHNDER, P. R., TRAMMELL, S. W.: The surgical treatment of peptic ulcer. Surgery, 67: 1017, 1970.
  • 27 — POSTLETHWAIT, R. W.: 5 year follow-up results of operations for duodenal ulcer. Surg. Gynec. Obst., 137: 387, 1973.
  • 28 — REGAN, J. F., SCHMUTZER, K. J., STEMMER, E. A.: Procedures of value for prevention and cure of dumping after vagotomy and pyloro plasty. Amer. J. Surg.,124: 279, 1972.
  • 29 — RUCKLEY, C. W. A., FALCONER, W. P., SMITH, A.N.: Selective vagotomy. A review of the anatomy and technique in 100 patients. Brit. J. Surg., 57: 245, 1970.
  • 30 — RUDICK, J., HUTCHISON, J.S.F.: Effects of vag•al nerve section on the biliary system. Lancet, 1: 579, 1964.
  • 31 — SAWYERS, J. L., SCOTT, H.W. EDWARDS, W. H., SHULL, H.J., LAVV, D.: Comparative. studies of the clinical effect of truncal and selective gastric vagotomy. Amer. J. Surg., 115: 165, 1968.
  • 32 — SKANDALAKIS, J. E., ROWE, J.s., GRAY, S. W., ANDROULAKIS, J.: Identification of vagal structures at the esophageal hiatus. Surgery, 75: 233, 1974.
  • 33 — TANNER, N. C.: Management of peptic ulcer. Ann. R. Coll. Surg. Eng., 37: 150, 1965.
  • 34 TANNER, N. C: Selection of the operation for duodenal ulcer. Gut., 10:! 170, 1969.
  • 35 • THOMPSON, E.W., READ, R. C.: Long-term randomized prospective comparison of Finney and Heineke-Mikulicz pyloroplasty in patients having vagotomy for peptic ulceration. Amer. J. Surg., 129: 78, 1975.
  • 36 — TINKER, J., COX, A. G.: Gallbladder function after vagotomy. Brit. J. Surg., 56: 779, 1969.
  • 37 — TOVEY, F. 1.: A comparsion of Polya gastrectomy, total and selective vagotomy, and of pyloroplasty and gastrojejunostomy. Brit. J. Surg., 56: 281, 1969.
  • 38 — VISICK, A. H.: Measured radical gastrectomy, Lancet, 1: 505, 1948,
  • 39 — WHELDON, E. J., VENABLES, C. W., JOHNSTON, 1. D: Late metabolic sequelae of vagotomy and gastroenterostomy. Lancet, 1: 437, 1970.
  • 40 — WISE, L., BALLINGER, W. F.: The elective surgical treatment of chro. nic duodenal ulcer. Surgery, 76: 811, 1974.
There are 37 citations in total.

Details

Primary Language English
Subjects General Surgery
Journal Section Articles
Authors

Ertuğrul Karahüseyinoğlu This is me

Publication Date December 31, 1976
Published in Issue Year 1976 Volume: 29 Issue: 4

Cite

APA Karahüseyinoğlu, E. (1976). 116 Bilateral Trunkal Vagotomi Drenaj Ameliyatının Analizi. Ankara Üniversitesi Tıp Fakültesi Mecmuası, 29(4), 887-906.
AMA Karahüseyinoğlu E. 116 Bilateral Trunkal Vagotomi Drenaj Ameliyatının Analizi. Ankara Üniversitesi Tıp Fakültesi Mecmuası. December 1976;29(4):887-906.
Chicago Karahüseyinoğlu, Ertuğrul. “116 Bilateral Trunkal Vagotomi Drenaj Ameliyatının Analizi”. Ankara Üniversitesi Tıp Fakültesi Mecmuası 29, no. 4 (December 1976): 887-906.
EndNote Karahüseyinoğlu E (December 1, 1976) 116 Bilateral Trunkal Vagotomi Drenaj Ameliyatının Analizi. Ankara Üniversitesi Tıp Fakültesi Mecmuası 29 4 887–906.
IEEE E. Karahüseyinoğlu, “116 Bilateral Trunkal Vagotomi Drenaj Ameliyatının Analizi”, Ankara Üniversitesi Tıp Fakültesi Mecmuası, vol. 29, no. 4, pp. 887–906, 1976.
ISNAD Karahüseyinoğlu, Ertuğrul. “116 Bilateral Trunkal Vagotomi Drenaj Ameliyatının Analizi”. Ankara Üniversitesi Tıp Fakültesi Mecmuası 29/4 (December1976), 887-906.
JAMA Karahüseyinoğlu E. 116 Bilateral Trunkal Vagotomi Drenaj Ameliyatının Analizi. Ankara Üniversitesi Tıp Fakültesi Mecmuası. 1976;29:887–906.
MLA Karahüseyinoğlu, Ertuğrul. “116 Bilateral Trunkal Vagotomi Drenaj Ameliyatının Analizi”. Ankara Üniversitesi Tıp Fakültesi Mecmuası, vol. 29, no. 4, 1976, pp. 887-06.
Vancouver Karahüseyinoğlu E. 116 Bilateral Trunkal Vagotomi Drenaj Ameliyatının Analizi. Ankara Üniversitesi Tıp Fakültesi Mecmuası. 1976;29(4):887-906.