What are the complications of pyloroplasty?
Vagotomy and pyloroplasty are associated with technical complications, the most important being rupture of the esophagus, splenic injury, leak at the pyloroplasty, and intra-abdominal bleeding.
What are complications of vagotomy?
Vagotomy Side Effects
- Diarrhea.
- Cholestasis, or the stopping or slowing of bile in the gallbladder.
- Gallstones.
- Delayed gastric emptying.
- Dumping syndrome.
- Weight loss.
- Bleeding.
- Injury to the stomach, esophagus, and/or major blood vessels during surgery.
Why is pyloroplasty done with vagotomy?
Truncal vagotomy. This type is commonly used with pyloroplasty or abdominal drainage to treat chronic peptic ulcers. It involves cutting one or more of the branches that split off the main trunk of the vagus nerve and travel down your esophagus to your stomach and other digestive organs.
What is a vagotomy and pyloroplasty?
It is usually accompanied by another surgery to widen the stomach outlet (pylorus) into the intestine (pyloroplasty), because the digestive system also loses its peristalsis function. Selective vagotomy: The vagus nerve divides below the gastroesophageal junction and only the portion going to the stomach is cut.
What is the surgical procedure for pyloroplasty?
Pyloroplasty involves cutting through and removing some of the pyloric sphincter to widen and relax the pylorus. This makes it easier for food to pass into the duodenum. In some cases, the pyloric sphincter is entirely removed.
What is the surgical procedure for Pyloroplasty?
In which procedure is pyloroplasty done?
Pyloroplasty is most commonly performed as a gastric drainage procedure along with a vagotomy (surgical severing of the part of the vagus nerve controlling the digestive system). A vagotomy is performed as treatment for peptic ulcers.
Where is a pyloroplasty performed?
Pyloroplasty is surgery to widen the opening in the lower part of the stomach (pylorus) so that stomach contents can empty into the small intestine (duodenum). The pylorus is a thick, muscular area.
What is the difference between pyloroplasty and Pyloromyotomy?
Although pyloroplasty is the most common gastric emptying procedure performed, pyloromyotomy is easier to perform and is associated with less morbidity. The aim of this study was to compare the efficacy of pyloromyotomy and pyloroplasty in children with DGE and GER undergoing a fundoplication.
What are the complications of pyloroplasty and vagotomy?
Vagotomy and pyloroplasty are associated with technical complications, the most important being rupture of the esophagus, splenic injury, leak at the pyloroplasty, and intra-abdominal bleeding.
What kind of procedure is pyloroplasty used for?
Pyloroplasty is most commonly performed as a gastric drainage procedure that is adjunctive to vagotomy for peptic ulcer disease (PUD).
What’s the difference between pyloroplasty and antrectomy?
Pyloric dilatation and pyloromyotomy are lesser variants of pyloroplasty. Gastrojejunostomy and antrectomy (~50% of distal portion of stomach) are alternatives to pyloroplasty. Pyloroplasty is most commonly performed as a gastric drainage procedure that is adjunctive to vagotomy for peptic ulcer disease (PUD).
Are there elective indications for pyloroplasty for Pud?
(Truncal and selective vagotomy denervate the pylorus and requires pyloric drainage; highly selective vagotomy spares the pylorus and does not require a drainage procedure.) With the availability of H2-receptor anatgonists (H2RAs) and proton pump inhibitors (PPIs), however, elective indications for surgery for PUD have decreased.