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Duodenoplasty and Proximal Gastric Vagotomy in Peptic StenosisExperience With 43 Cases
Fernando Luiz Barroso, MD;
Aridio Ornellas-Filho, MD;
Carlos José Saboya, MD;
Roberto Frota-Pessoa, MD;
Armando Oliveira, MD;
Otávio Pires Vaz, MD;
José B. Galvão, MD
Arch Surg. 1986;121(9):1021-1024.
Abstract
• Experience with 43 duodenoplasties as a complementary procedure of proximal gastric vagotomy used in peptic duodenal stenosis was reviewed. After a rigid protocol aimed at treating the metabolic imbalance, gastric dilation, and activity of the ulcer, the cases were very similar to elective ones. Two types of duodenoplasty were most commonly employed: anterior duodenectomy with a transverse duodenorrhaphy (26 cases) and Finney's duodenoplasty (15 cases). No deaths or serious complications were reported. The only operative accident was a splenic lesion with splenectomy. Two recurrences were observed. The patients were followed up from January 1978.
(Arch Surg 1986:121:1021-1024)
Author Affiliations
From the General Surgery Services, Hospital Municipal Miguel Couto (Drs Barroso, Ornellas-Filho, Saboya, Frota-Pessoa, and Vaz) and Hospital de Ipanema (Drs Barroso, Filho, Frota-Pessoa, Oliveira, Vaz, and Galvão), Rio de Janeiro; and the Department of Surgery, University of Rio de Janeiro (Dr Galvão).
Footnotes
Accepted for publication Dec 13, 1985.
Reprint requests to Rua Humberto de Campos 1029, Apto 201, Leblon, Rio de Janeiro, CEP 22430 RJ Brasil (Dr Barroso).
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