title: Delayed gastric emptying after laparoscopic anterior highly selective and posterior truncal vagotomy.
abstract: We describe a case of gastroparesis after laparoscopic highly selective anterior and posterior truncal vagotomy in a 30-yr-old male with gastric ulcer disease. Motility studies confirmed the diagnosis, and a pancreatic polypeptide sham feeding study suggested that a complete vagotomy may have been inadvertently performed. The experience with this procedure in gastric ulcer disease is extremely limited; review of the literature of laparoscopic highly selective vagotomy describes only two cases with delayed gastric emptying as defined by radiological examination. In view of the paucity of reports, caution is warranted, and this procedure should be undertaken only in the setting of a controlled trial.
authors.affiliation: Department of Medicine, Wayne State University School of Medicine, Detroit, Michigan, USA.
authors.forename: M
authors.initials: M
authors.lastname: Tobi
authors.forename: T
authors.initials: T
authors.lastname: Holtz
authors.forename: J
authors.initials: J
authors.lastname: Carethers
authors.forename: C
authors.initials: C
authors.lastname: Owyang
mesh_terms: D000328:Adult; D005746:Gastric Emptying; D018589:Gastroparesis / Q000209:etiology; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects*; D008297:Male; D013276:Stomach Ulcer / Q000601:surgery; D014629:Vagotomy, Proximal Gastric / Q000009:adverse effects*; D015167:Vagotomy, Truncal / Q000009:adverse effects*