Gastric Emptying after Gastric Surgery

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Abstract
Almost any study upon the stomach will alter gastric motility and emptying. There are many reports on the effects of different operations on gastric or gastric remnant emptying, studied by a wide variety of methods. So the results are difficult to compare. The aim of this study was to investigate, with one standardized radionuclide technique, the effect of highly selective vagotomy, truncal vagotomy with pyloroplasty, partial gastrectomy (Billroth II), truncal vagotomy with partial gastrectomy (Billroth II) and subtotal gastrectomy with Roux-en-Y reconstruction on gastric emptying of semisolid and solid meals. Furthermore, the correlation between postoperative symptoms and emptying patterns are investigated in these patients. It is concluded from this study that, in patients with postprandial symptoms after gastric surgery, significant correlations exist between the emptying patterns of normal semisolid and solid meals and those symptoms. Symptoms appear to be more severe and intractable when any form of gastric resection is combined with vagotomy. Knowledge of the importance of gastric motility and emptying is essential for any surgeon involved in surgery of the stomach.

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