Proximal gastric vagotomy, fundoplication, and lesser-curve necrosis.
- 2 June 1979
- Vol. 1 (6176) , 1455-1456
- https://doi.org/10.1136/bmj.1.6176.1455
Abstract
Out of 400 patients who underwent proximal gastric vagotomy (PGV), three developed lesser-curve necrosis (LCN) leading to perforation within the first seven days. In each case diagnosis was delayed but the patient survived after a second operation. In each an associated Nissen fundoplication had been carried out; we used the combined operation in only 33 patients. Delayed LCN occurred in a patient who had undergone splenectomy at the time of the PGV and in a fifth patient treated elsewhere who had also undergone fundoplication. These findings indicate that early postoperative gastric distension with gas, not readily voided after fundoplication, may aggravate local vascular factors and predispose to LCN. We suggest that PGV combined with fundoplication may be dangerous.Keywords
This publication has 5 references indexed in Scilit:
- NEW APPROACH TO THE SURGICAL TREATMENT OF REFLUX ESOPHAGITIS1979
- [Four cases of early gastric ulcerations following hyperselective vagotomy for duodenal ulcer].1977
- Operative mortality and postoperative morbidity of highly selective vagotomy.BMJ, 1975
- [Stomach wall necrosis as a complication of proximal selective vagotomy in uremic patients].1975
- Letter: Complication of proximal gastric vagotomy.BMJ, 1974