Authors: N Katkhouda D J Waldrep G M R Campos E Tang S Offerman A P Trussler J Gugenheim J Mouiel
Publish Date: 2014/03/19
Volume: 12, Issue: 8, Pages: 1051-1054
Abstract
Background Results from classic highly selective vagotomy HSV are technique dependent because an incomplete operation will result in early recurrence of duodenal ulcer Few reports describe laparoscopic completion of the procedure All techniques use clips for division of neurovascular branches making the laparoscopic approach tedious and thus the results uncertainResults All procedures were completed laparoscopically and took approximately 1 h There were no deaths and no postoperative complications Patients were discharged the next day Followup endoscopy at 2 months showed healing of duodenal ulcer in all cases and postoperative acid secretion studies demonstrated a decrease in basal acid output BAO by 74 82 meq/h to 216 meq/h and maximal acid output MAO by pentagastrin stimulation by 792 40 to 832
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