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September 1986

Duodenoplasty and Proximal Gastric Vagotomy in Peptic Stenosis: Experience With 43 Cases

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).

Arch Surg. 1986;121(9):1021-1024. doi:10.1001/archsurg.1986.01400090047008

• 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)