title: Highly selective vagotomy and gastrojejunostomy in the treatment of peptic ulcer induced gastric outlet obstruction.
abstract: OBJECTIVE
  The incidence of peptic ulcer-induced gastric outlet obstruction is constantly declining. The aim of this study was to present our results in the treatment of gastric outlet obstruction with highly selective vagotomy and gastrojejunostomy.
  
  
  METHODS
  This retrospective clinical study included 13 patients with peptic ulcer-induced gastric outlet obstruction operated with higly selective vagotomy and gastrojejunostomy. A 3-year follow-up was conducted including clinical interview and upper gastrointestinal endoscopy on 1 and 3 years after the surgery.
  
  
  RESULTS
  The most common preoperative symptom was vomiting (in 92.3% of patients). The mean preoperative body mass index was 16.3 +/- 3.1 kg/m2, with 9 patients classified preoperatively as underweight. There were no intraoperative complications, nor mortality. At a 3-year follow-up there was no ulcer recurrence. Delayed gastric emptying was present in 1, bile reflux in 2, and erosive gastritis in 1 patient. Two patients suffered from mild "dumping" syndrome.
  
  
  CONCLUSIONS
  Higly selective vagotomy combined with gastrojejunostomy is a safe and easily feasible surgical solution of gastric outlet obstruction induced by peptic ulcer. Good functional results and low rate of complications can be expected at a long-term follow-up.
authors.forename: Nebojša
authors.initials: N
authors.lastname: Radovanović
authors.forename: Aleksandar
authors.initials: A
authors.lastname: Simić
authors.forename: Ognjan
authors.initials: O
authors.lastname: Skrobić
authors.forename: Milutin
authors.initials: M
authors.lastname: Kotarac
authors.forename: Nenad
authors.initials: N
authors.lastname: Ivanović
mesh_terms: D000368:Aged; D005260:Female; D015390:Gastric Bypass; D017219:Gastric Outlet Obstruction / Q000209:etiology* / Q000601:surgery*; D006801:Humans; D008297:Male; D010437:Peptic Ulcer / Q000150:complications*; D011183:Postoperative Complications / Q000453:epidemiology; D012189:Retrospective Studies; D055771:Serbia / Q000453:epidemiology; D016896:Treatment Outcome; D014629:Vagotomy, Proximal Gastric