Gastric flap pyloproduodenoplasty for treatment of cicatiricial pyloricobstruction -evaluation of a new technique
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Gastric outlet obstruction is now the commonest indication for duodenal ulcer (DU) surgery. This work introduces a drainage procedure utilizing a gastric flap for pyloro-duodenoplasty combined with iruncal vagotomy in surgical treatment of theatrical pyloric obstruction. The study comprised 12 patients, 9 males and 3 females, with age range of 32-61 years. All patients underwent full history taking, clinical examination, preoperalive endoscopic evaluation. Barium meal studies and laboratory investigations. All patients underwent truncal vagotomy and gastric flap for py/oro -= duodenoplusly. Both inlraoperative difficulties and postoperative complications were minimal. Two patients had wound infection that responded to local treatment and antibiotic therapy. One patient developed mini- leak, but responded to conservative treatment with no need for re- exploration. No patient developed gross leakage. This study concluded that gastric flap pyloro- duodenopkisty is a safe and satisfactory method for pytoroplasly with low incidence of side effects and is appropriate to be applied for patients with DU associated with gastric outlet obstruction.