Laparoscopic-assisted truncal vagotomy and gastro-jejunostomy: trial of simplification.
BACKGROUND
Truncal vagotomy and gastro-jejunostomy is an effective procedure for Gastric Outlet Obstruction. The authors' experience with the procedure is presented and an alternative technique for creating the gastro-jejunostomy is described.


METHODS
From January 2005 through June 2007, 18 patients with gastric outlet obstruction secondary to a cicatrizing peptic duodenal ulcer underwent laparoscopic truncal vagotomy and an ante-colic laparoscopic-assisted stapled gastro-jejunostomy.


RESULTS
All procedures were completed laparoscopically with a mean operative time of 81.2 +/- 11.1 minutes. Anastomotic leak was encountered in 1 (5.5%) patient and bile vomiting in 2 patients (11%). The mean follow-up duration was 22.8 +/- 9.8 months. None of the patients developed recurrent obstruction.


CONCLUSIONS
The procedure is feasible, safe, and provides an effective cure for gastric outlet obstruction. The laparoscopic-assisted stapled gastro-jejunostomy reduces the operative time and may reduce the cost of the procedure.
Abdel-Salam
Wael N
WN
Department of General Surgery, Faculty of Medicine, University of Alexandria, Alexandria, Egypt.
Katri
Khaled M
KM
Bessa
Samer S
SS
El-Kayal
El-Saed A
el-SA
D000293:Adolescent; D000328:Adult; D005260:Female; D015390:Gastric Bypass / Q000379:methods*; D017219:Gastric Outlet Obstruction / Q000209:etiology / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D010437:Peptic Ulcer / Q000150:complications; D011183:Postoperative Complications; D016896:Treatment Outcome; D015167:Vagotomy, Truncal / Q000379:methods*