title: Laparoscopic-assisted truncal vagotomy and gastro-jejunostomy: trial of simplification.
abstract: 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.
authors.affiliation: Department of General Surgery, Faculty of Medicine, University of Alexandria, Alexandria, Egypt.
authors.forename: Wael N
authors.initials: WN
authors.lastname: Abdel-Salam
authors.forename: Khaled M
authors.initials: KM
authors.lastname: Katri
authors.forename: Samer S
authors.initials: SS
authors.lastname: Bessa
authors.forename: El-Saed A
authors.initials: el-SA
authors.lastname: El-Kayal
mesh_terms: 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*