Reconstruction of the pylorus

Martín, Christopher J.; Kennedy, T. L.

doi:10.1007/bf01654696

Cited by 15 publications

(3 citation statements)

References 28 publications

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“…Miranda et al [28] state that in 50% of their cases with an antiperistal tic jejunal interposition, the dumping syndrome was just exchanged for EGR. Several authors claim that recon struction of pylorus is a procedure suitable for treating gastric incontinence to some extent, but has little to offer in cases with EGR [7,13,25], Muscroft et al [29] report an extremely high morbid ity of 47% after antrectomy with Billroth I gastroduodenostomy for recurrent ulceration and conclude that another type of gastroenteroanastomosis such as Rouxen-Y must be considered; a conclusion also supported by Cooper and Bell [10], who reported a very low morbidity after antrectomy with Roux-en-Y reconstruction for re current ulceration.…”

Section: Discussionmentioning

confidence: 99%

Roux-en-Y Procedure for Recurrent Ulcer, Bile Reflux and Dumping Syndrome following Antiulcer Gastric Surgery

Vassilakis¹,

Xynos²,

Neonakis³

et al. 1988

Dig Surg

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Twelve patients, who previously had surgery for peptic ulcer, underwent a Roux-en-Y procedure for the treatment of a combination of severe symptoms. The original operation was truncal vagotomy with pyloroplasty in 7 and Billroth II gastrectomy in 5 patients. In those 5 patients a truncal vagotomy was added. Enterogastric reflux (EGR) was documented preoperatively with milk-EHIDA scintigraphy in all of them, and 8 patients had dumping syndrome with a positive dumping provocation test (DPT). Recurrence of ulceration was found preoperatively in 4 patients. All patients were classified as Visick III or IV. At an average follow-up of 2.5 years, all patients but 1 were classified as Visick I or II. DPT was negative and EGR was almost totally abolished in all subjects. Only 3 patients had mild symptoms of gastric stasis, although gastric emptying of solids as evaluated with gastric scintigraphy of a labelled test meal was found significantly delayed in all patients as compared to healthy volunteers. Gastrectomy with Roux-en-Y gastrojejunostomy is an effective procedure for the treatment of enterogastric reflux, dumping syndrome and recurrent ulceration, especially when these problems coexist in the same patient.

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Section: Discussionmentioning

confidence: 99%

Roux-en-Y Procedure for Recurrent Ulcer, Bile Reflux and Dumping Syndrome following Antiulcer Gastric Surgery

Vassilakis¹,

Xynos²,

Neonakis³

et al. 1988

Dig Surg

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“…Two of the patients had recurrence of their symptoms within 6 months, but the remaining 6 were well at follow-up one year later. From Belfast, Kennedy reports success in 7 out of 13 such patients after pyloric reconstruction (Martin and Kennedy, 1982) but also notes that in 37 patients with dumping and diarrhoea following vagotomy and gastrojejunostomy, closure of the gastrojejunostomy was successful in 33 of the patients (Kennedy, 1982).…”

Section: Stomach and Duodenummentioning

confidence: 99%

Review of general surgery 1982

Ellis

1983

Postgraduate Medical Journal

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“…This result could be simply achieved if the drainage procedure had Verantwortlicher Herausgeber: Prof. Dr. J. R. Siewert, Milnchen been a gastrojejunostomy, i.e., by taking down the gastrojejunal anastomosis and closing the gastric and jejunal stomata to restore the status quo, but the first suggestirn that the pylorus might be reconstructed after pyloroplasty came from Denmark [2]. Most of the reports are concerned with the common Mikulicz or less common Finney [18] procedure, while there is only one [11] that documents results of reversal of the Jaboulay pyloroplasty in several patients. The exact type of pyloroplasty needs to be specified.…”

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confidence: 99%