Reperitonealization and Invagination of the Lesser Curvature of the Stomach Following Proximal Gastric Vagotomy

Croft, Rodney J.

doi:10.1001/archsurg.1978.01370140096022

Cited by 9 publications

(2 citation statements)

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“…Necrosis or ulcer ation at the lesser curvature have occurred in man in the early postoperative period, and localized ischemia is assumed to bean important factor to these complications [5,6,12,14], It has been demonstrated that the intraluminal gastric pressure (IGP) is elevated after proximal gastric vagotomy both in man and experimental animals [2,11,19,21], Elevation of IGP could worsen an ischemia of the stomach wall induced by devascularization [4,8,13], In the present work we, therefore, studied the effect of IGP changes on tissue blood flow in the stomach with regional ischemia caused by devascularization.…”

Section: Introductionmentioning

confidence: 99%

The Effect of Intragastric Pressure on Gastric Blood Flow after Partial Devascularization of the Stomach in Cats

Varhaug¹,

Svanes²,

Lysen³

et al. 1980

Eur Surg Res

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The influence of intragastric pressure (IGP) on gastric blood flow was studied in cats with regional ischemia due to partial gastric devascularization, and in sham-operated cats. IGP was controlled by intragastric installation of saline. Blood flow was determined by means of the microsphere distribution technique. Increment of IGP reduced mucosal and muscularis blood flow in all areas of the stomach, both in sham-operated and devascularized cats. In areas with reduced mucosal blood flow due to devascularization, blood flow became further reduced by IGP to an extremely low flow level. The present results are pertinent to the pathogenesis of early lesser curvature ulcer or necrosis sometimes occurring after proximal gastric vagotomy in man.

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Section: Introductionmentioning

confidence: 99%

The Effect of Intragastric Pressure on Gastric Blood Flow after Partial Devascularization of the Stomach in Cats

Varhaug¹,

Svanes²,

Lysen³

et al. 1980

Eur Surg Res

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“…Gastric ulceration developing after proximal gastric vagotomy probably represents a less severe form of ischemia. In the cases previously reported, the ulcers developed on the lesser curve 10 weeks and 5 months after the operation [5,9]. Whether these gastric ulcers developed immediately after the operation or occurred some weeks later was not known.…”

Section: Discussionmentioning

confidence: 95%

Lesser curve ischemia after proximal gastric vagotomy and splenectomy: Conservative management with endoscopical surveillance

Choi

Wong

1985

World j. surg.

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A case of lesser curvature ischemia after proximal gastric vagotomy and splenectomy is described. Division of the right gastroepiploic vessels had caused further impairment of the stomach circulation. Deep seromuscular invagination of the lesser curvature was performed at the end of the operation to protect the ischemic area. Sequential changes were seen at repeated endoscopic examinations, and further operation was not necessary.

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Postoperative gastric ischaemia

Schein

Saadia

1989

Journal of British Surgery

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Reperitonealization and Invagination of the Lesser Curvature of the Stomach Following Proximal Gastric Vagotomy

Cited by 9 publications

References 9 publications

The Effect of Intragastric Pressure on Gastric Blood Flow after Partial Devascularization of the Stomach in Cats

The Effect of Intragastric Pressure on Gastric Blood Flow after Partial Devascularization of the Stomach in Cats

Lesser curve ischemia after proximal gastric vagotomy and splenectomy: Conservative management with endoscopical surveillance

Postoperative gastric ischaemia

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