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Comparison of laparoscopic truncal vagotomy with gastrojejunostomy and open surgery in peptic pyloric stenosis

Authors
 Seok-Mo Kim  ;  Jyewon Song  ;  Sung Jin Oh  ;  Woo Jin Hyung  ;  Seung Ho Choi  ;  Sung Hoon Noh 
Citation
 SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, Vol.23(6) : 1326-1330, 2009 
Journal Title
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
ISSN
 0930-2794 
Issue Date
2009
MeSH
Follow-Up Studies ; Gastric Bypass/methods* ; Humans ; Laparoscopy/methods* ; Laparotomy/methods* ; Male ; Middle Aged ; Pyloric Stenosis/etiology ; Pyloric Stenosis/surgery* ; Retrospective Studies ; Stomach Ulcer/complications* ; Stomach Ulcer/surgery ; Treatment Outcome ; Vagotomy, Truncal/methods*
Keywords
Laparoscopy ; Acid peptic disease ; Truncal vagotomy ; Gastrojejunostomy
Abstract
BACKGROUND: Little is known about the advantages of laparoscopic truncal vagotomy with gastrojejunostomy (LTVGJ) over open truncal vagotomy with gastrojejunostomy (OTVGJ) for peptic pyloric stenosis (PPS). This study aimed to highlight the role of minimally invasive surgery in the form of LTVGJ for PPS. METHODS: From March 1999 to October 2005, 21 patients with PPS underwent LTVGJ (n = 13) and OTVGJ (n = 8). We analyzed intraoperative and postoperative outcomes retrospectively. RESULTS: Two groups had similar demographic characteristics. Significantly shorter operating time, hospital stay, time to presence of bowel sounds, and time to tolerate a diet were the advantages of LTVGJ, while blood loss was higher in OTVGJ. There were significant differences in weight gain between the two groups after surgery during follow-up. CONCLUSIONS: This study suggests that LTVGJ is a feasible technique, and intermediate follow-up reveals good symptomatic results when used for PPS.
Full Text
http://link.springer.com/article/10.1007%2Fs00464-008-0160-1
DOI
10.1007/s00464-008-0160-1
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
Yonsei Authors
Noh, Sung Hoon(노성훈) ORCID logo https://orcid.org/0000-0003-4386-6886
Song, Jye Won(송재원)
Oh, Sung Jin(오성진)
Choi, Seung Ho(최승호) ORCID logo https://orcid.org/0000-0002-9872-3594
Hyung, Woo Jin(형우진) ORCID logo https://orcid.org/0000-0002-8593-9214
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/104214
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