CHANGE OF PATTERN OF GASTRIC EMPTYING AFTER SELECTIVE PROXIMAL VAGOTOMY

Gastric emptying following vagotomy and antrectomy and proximal gastric vagotomy.

Gastric emptying of solid meals labelled with 129Cs was studied in patients for up to one year after vagotomy and antrectomy or after proximal gastric vagotomy. Significant delay was found one month after vagotomy and antrectomy but this had returned to normal by six months. No delay was found after proximal gastric vagotomy. The effect of posture on gastric emptying was also studied in the sam...

Study of the Gastric Motility after Atypical Selective Proximal Vagotomy

During selective proximal vagotomy (SPV), atypical SPV (atyp-SPV) was proposed when either the anterior or posterior nerve of Latarjet was sacrified. In order to study the gastric motility after atyp-SPV , eight mongrel dogs on which SPV had been performed underwent atyp-SPV, with subsequent transthoracic truncal vagotomy (TV). These surgeries were performed at about 4 to 5 week intervals, and ...

Supersensitivity and gastric emptying after vagotomy.

Investigations were carried out in man and dog to study the validity of Cannon's law of denervation supersensitivity in relation to parasympathetic denervation of the stomach. Subthreshold doses of carbachol did not accelerate gastric emptying before vagotomy but caused a significant increase in the rate of gastric emptying after vagotomy. These findings may be relevant to aberrations of gastro...

Gastric fistula after proximal gastric vagotomy.

Proximal gastric vagotomy after five years.

A follow-up of 93 patients with chronic duodenal ulceration treated by proximal gastric vagotomy without drainage five to nine years previously shows a high incidence of confirmed recurrent ulceration of 16.1%. In addition, there have been patients with transient recurrent ulceration, and a small group with persistent dyspeptic symptoms but in whom no ulcer has been demonstrated. The operation ...