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. |
