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Abstract
To avoid motility disturbances after Billroth gastrectomy, the authors designed pylorus
and antroseromuscular flap-preserving subtotal gastrectomy (PAFPG). Results showed
that gastric motility and emptying time of dogs after PAFPG were close to normal.
PAFPG was applied to 125 consecutive patients with gastroduodenal ulcers (gastric
ulcer, 15 patients; duodenal ulcer, 94 patients; and combined ulcers, 16 patients)
confirmed by barium examination and fibro-gastroendoscopy. All patients recovered
smoothly, none of them had postoperative complication. Gastric acid output reduction
rates were as follows: basal acid output, 85.05% ± 8.13%; maximal acid output, 81.76%
± 10.85%; peak acid output, 81.42% ± 10.15%. The incidence of postoperative enterogastric
reflux (endoscopically) and the concentration of cholic acids in gastric juice were
significantly lower in patients after PAFPG than after Billroth I or II gastrectomy.
Results suggest that PAFPG reduced gastric acid outputs definitely and overcame adverse
motility consequences after Billroth I or II gastrectomy desirably.
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References
- Pylorus-preserving gastrectomy as an improved operation for gastric ulcer.Surgery. 1967; 61: 838-845
- Proximal gastric vagotomy and mucosal antrectomy: effect on gastric acid secretion, plasma gastrin, and experimental ulcerogenesis in the dog.Surgery. 1987; 101: 623-631
- Enterogastric reflux and gastric clearance of refluxate in normal subjects and in patients with and without bile vomiting following peptic ulcer surgery.Ann Surg. 1986; 204: 537-542
- Alkaline reflux gastritis and the effect of biliary diversion on gastric emptying of solid food.Am J Surg. 1985; 150: 166-171
- Duodenal ulcer: a disease in evolution.Curr Probl Surg. 1984; 21: 1-79
- Pylorus-preserving gastrectomy in the treatment of duodenal ulcer.Br J Surg. 1972; 59: 27-29
- Regurgitant bile acids and mucosal injury of the gastric remnant after partial gastrectomy.Am J Surg. 1987; 153: 399-403
Article info
Publication history
Accepted:
July 20,
1990
Footnotes
☆See accompanying editorial, page 802.
Identification
Copyright
© 1991 Published by Elsevier Inc.
