Tubes for gastric aspiration after vagotomy

Hamer, Diana; Wellwood, J. M.; Cox, Alan G.

doi:10.1002/bjs.1800560408

Cited by 4 publications

(2 citation statements)

References 6 publications

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“…A gastrostomy is an additional operation, though a small one. A further objection is that infection of the gastrostomy wound may occur, though we have not found this important, and it has not increased the incidence of infection in the main abdominal wound, as Hamer et al (1969) found. The advantages of a gastrostomy are that it is more comfortable for the patient (Miller et al, 1972), it causes no laryngeal or oesophageal complications and the tube can be allowed to drain freely into a bag, thus keeping the stomach empty of fluid and swallowed air, and if a Foley catheter is used there is no doubt that the tip of the tube is in the stomach.…”

contrasting

confidence: 56%

“…Paralytic ileus lasting for more than 4 days was recorded as a complication, and evidence of graft infection was sought. Wound infection, dehiscence and later incisional hernia were noted and, in view of the findings of Hamer et al (1969), the incidence of venous thrombo-embolism and dysphagia. The incidence of these complications in gastrostomy and nasogastric patients was compared, as was the mean time spent by each group between operation and discharge from hospital.…”

Section: Methodsmentioning

confidence: 98%

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The value of gastrostomy in the surgery of aortic aneurysms

Morris¹,

Bouhoutsos²,

Martin³

1974

Journal of British Surgery

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contrasting

confidence: 56%

Section: Methodsmentioning

confidence: 98%

The value of gastrostomy in the surgery of aortic aneurysms

Morris¹,

Bouhoutsos²,

Martin³

1974

Journal of British Surgery

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A randomized prospective trial comparing three established methods of gastric decompression after vagotomy

Miller

Mason

McArthur

et al. 1972

Journal of British Surgery

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4.Gastric Emptying: Radiological Findings.-After acid-fundic selective vagotomy without gastric drainage radiographic examination 5 months after surgery (Table X ) showed complete emptying of the stomach within 4 hours in 92 per cent of the patients, within 6 hours in 5.3 per cent, and after 6 hours in 2'7 per cent. These results were far better than those after total selective vagotomy without gastric drainage. CONCLUSIONSThe clinical and secretory results in the present series support the following conclusions :-I. Acid-fundic selective vagotomy achieves a complete denervation of the parietal cell mass and reduces basal and stimulated acid gastric secretion to the same extent as total selective (or truncal) vagotomy.2. Acid-fundic selective vagotomy, preserving the vagal branches of the antrum, does not affect gastric emptying and makes gastric drainage unnecessary.The clinical results, although after only a short follow-up, suggest that the procedure can be considered as the treatment of choice in most patients with an uncomplicated duodenal ulcer (76 per cent in our series). The gastric drainage procedure is required only in cases of stenosiog duodenal ulcer with delayed gastric emptying. Pyloropiasty is also mandatory in the treatment of bleeding ulcer and of perforated ulcer (if the suture is stenosing).Acknowledgements.-We are indebted to our anaesthetists, Dr. R. Aloi and Dr. A. Talia, to the staff nurses of the operating theatre, and to the sisters and nurses of the wards for their help.

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A randomized controlled trial of postoperative nasogastric tube decompression in gynecologic oncology patients undergoing intra-abdominal surgery

Pearl

Valea

Fischer

et al. 1996

Obstetrics & Gynecology

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Postoperative nasogastric tube decompression in gynecologic oncology patients undergoing extensive intra-abdominal surgery does not appear to provide any substantial benefit but significantly increases patient discomfort. As a result of this study, we have eliminated postoperative nasogastric decompression except in highly selected circumstances, such as extensive bowel surgery in patients with prior irradiation or substantial edema from bowel obstruction.

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Tubes for gastric aspiration after vagotomy

Cited by 4 publications

References 6 publications

The value of gastrostomy in the surgery of aortic aneurysms

The value of gastrostomy in the surgery of aortic aneurysms

A randomized prospective trial comparing three established methods of gastric decompression after vagotomy

A randomized controlled trial of postoperative nasogastric tube decompression in gynecologic oncology patients undergoing intra-abdominal surgery

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