Vagotomy and gastrojejunostomy for benign gastric outlet obstruction.
OBJECTIVE
Peptic-ulcer-induced gastric outlet obstruction is an indication for operative intervention. The advent of minimal access surgery allows the conventional open procedure to be performed via laparoscopy.


METHODS
From 1996 to 2000, 15 consecutive patients, aged 29 to 75 years, underwent laparoscopic truncal vagotomy and gastrojejunostomy for gastric outlet obstruction. Perioperative data and longterm followup results were analyzed.


RESULTS
There were no conversions or perioperative mortality. The mean operative time was 114 minutes. Patients required on average 1 dose of intramuscular pethidine for analgesia. Eleven patients were discharge by postoperative day 10; the remaining 4 patients had delayed gastric emptying which settled with conservative treatment. With an average followup period of 80 months, patients were classified as Visick I (n = 7), II (n = 5), III (n = 1), and IV (n = 2).


CONCLUSIONS
Laparoscopic truncal vagotomy and gastrojejunostomy is technically feasible for patients with benign gastric outlet obstruction and is associated with satisfactory perioperative and longterm outcome.
Siu
Wing Tai
WT
Department of Surgery, Pamela Youde Nethersole Eastern Hospital, Chai Wan, Hong Kong, SAR, China. wtsiu@netvigator.com
Tang
Chung Ngai
CN
Law
Bonita Ka Bo
BK
Chau
Chun Han
CH
Yau
Kwok Kay
KK
Yang
George Pei Cheung
GP
Li
Michael Ka Wah
MK
D000328:Adult; D000368:Aged; D015331:Cohort Studies; D005260:Female; D017219:Gastric Outlet Obstruction / Q000209:etiology / Q000601:surgery*; D005774:Gastrostomy / Q000379:methods*; D006801:Humans; D007582:Jejunostomy / Q000379:methods*; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D010437:Peptic Ulcer / Q000150:complications; D016896:Treatment Outcome; D015167:Vagotomy, Truncal / Q000379:methods*