Yapay Zeka Hızlı Bakış & Çıkarımlar
AI InsightDiscussion and Conclusion: Although ulcer surgery is rarely performed today, after introduction of modern anti-ulcer med- ications, we think that the BTV+GJ+B procedure can be applied safely in intractable cases.
📌 3 Maddede Bu Makale
Abstract
Introduction: The present study aims to evaluate the results of bilateral truncal vagotomy (BTV), gastrojejunostomy (GJ) and Braun (B) anastomosis technique, which has been used in our patients with intractable peptic ulcer. Methods: Demographics, indications of surgery (intractability, stenosis, refractory bleeding), diagnostic methods used (bar- ium X-ray, upper gastrointestinal endoscopy), localization of ulcer, early and late postoperative complications, hospitalization period and mortality parameters of 32 patients, who underwent elective surgery (BTV+GJ with long afferent and efferent loops+B) in a two-year period, were retrospectively evaluated in this study. Results: The mean age was 47 years (range, 29-73), and all of them were male (91%) except three patients (9%). The most common localization of ulcers was the first part of the duodenum at anterior wall (64.6%). Resistance to the medical treatment and persistent symptoms (intractability, 34.4%) and pyloric stenosis (31.3%) were the most common indications for surgery. Early postoperative complications were surgical site infections (6.6%), delayed gastric emptying (3.3%) and atelectasis (3.3%). All patients were discharged home between the 5th and 10th postoperative days. Gastric dullness, episodic diarrhea and Dumping syndrome (15.3%, 11.5% and 7.7%, respectively) were among the commonest late postoperative complications in a mean of 20 months follow-up period (range, 12-30). There was no mortality. Discussion and Conclusion: Although ulcer surgery is rarely performed today, after introduction of modern anti-ulcer med- ications, we think that the BTV+GJ+B procedure can be applied safely in intractable cases.