New additional operation for the prevention of gastric stasis after selective gastric vagotomy with antrectomy.

概要

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The new additional operation for the prevention of the gastric stasis after the selective gastric vagotomy with antrectomy (SV+A) was performed.<BR>Our additional operative procedure was followed: After selective gastric vagotomy and antrectomy, gastroduodenostomy was anastomosed at acute angle with the longitudinalis of the stomach. Then, both lesser and greater omentum were incised outside of the gastric vessels. After these procedure, posterior wall sided to lesser curvature was fixed with the edge of the hepatogastric ligament and posterior wall sided to greater curvature was fixed with the retroperitoneum inferior to the pancreas by several sutures.<BR>The outcome of these treatments of the additional operation on SV + A enabled to shorten the duration of drainage of gastric juice, as well as smooth intake.<BR>By fluoroscopic examination one month after operation, gastric stasis was observed on SV+A due to the contrast medium stored in the ptotic corpus, whereas, in the case of SV+A with our additional operation, smooth gastric emptying was observed without any stasis of the contrast medium, because the corpus was placed upper from the anastomosis portion.<BR>In conclusion, our additional operation to SV+A was able to perform easy and safely, and was observed the effective prevention of gastric stasis.