RT Book, Section
A1 Ellison, E. Christopher
A1 Zollinger, Jr., Robert M.
A1 Pawlik, Timothy M.
A1 Vaccaro, Patrick S.
A1 Bitans, Marita
A1 Baker, Anthony S.
SR Print(0)
ID 1187820748
T1 Pyloroplasty and Gastroduodenostomy
T2 Zollinger’s Atlas of Surgical Operations, 11e
YR 2022
FD 2022
PB McGraw-Hill Education
PP New York, NY
SN 9781260440850
LK accesssurgery.mhmedical.com/content.aspx?aid=1187820748
RD 2024/10/10
AB These  procedures  may  be  used  when  the  vagus  innervation  of  the  stomach  has  been  interrupted  either  by  truncal  vagotomy,  selective  vagotomy,  or  division  of  the  vagus  nerves  associated  with  esophagogastric  resection  and  reestablishment  of  esophagogastric  continuity.  The  pyloroplasty  ensures  drainage  of  the  gastric  antrum  following  vagotomy  and  therefore  partially  eliminates  the  antral  phase  of  gastric  secretion.  It  does  not  alter  the  continuity  of  the  gastrointestinal  (GI)  tract  and  decreases  the  possibility  of  marginal  ulceration  occasionally  seen  after  gastrojejunostomy.  Pyloroplasty  carries  a  low  surgical  morbidity  and  mortality  rate  because  of  its  technical  simplicity.