[Cardia Function After Proximal-gastric Vagotomy (author's Transl)]

Overview

Journal Langenbecks Arch Chir

Specialty General Surgery

Date 1979 Aug 1

PMID 40076

Citations 1

Authors

G Schattenmann

G Lepsien

R Siewert

Affiliations

Soon will be listed here.

Abstract

In 36 patients with chronic duodenal ulcer disease LES-function before and after proximal-gastric vagotomy was examined manometrically and by determining pH-values in a prospective study. In addition, esophagus biopsies were taken 5 cm proximal of the cardia. 12 healthy volunteers served as controls. A direct effect of proximal-gastric vagotomy on LES-function could not be shown. On the contrary, in 38,9% of the patients examined, preoperatively proven esophagitis disappears nearly completely 12 months following proximal gastric vagotomy. This positive effect of vagotomy is to be interpreted as a beneficial effect on regurgitated intestinal juice, more so than an effect on cardia function itself.

Citing Articles

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PMID: 7311682 DOI: 10.1007/BF01271333.

References

Mann C, Hardcastle J . The effect of vagotomy on the human gastrooesophageal sphincter. Gut. 1968; 9(6):688-95. PMC: 1552879. DOI: 10.1136/gut.9.6.688. View

Siewert R, Lepsien G, Schattenmann G, Blum A . [The Göttingen pH measurement technic. Telemetric, long-term pH measurement of the esophagus]. Chirurg. 1978; 49(5):333-4. View

Seefeld U, Krejs G, SIEBENMANN R, Blum A . Esophageal histology in gastroesophageal reflux. Morphometric findings in suction biopsies. Am J Dig Dis. 1977; 22(11):956-64. DOI: 10.1007/BF01076193. View

Witte J, Zumtobel V, Rattenhuber U, Londong W, FEIFEL G, Lang G . [Manometric study on the effect of proximal vagotomy on the lower esophageal sphincter]. Z Gastroenterol. 1977; 15(4):231-6. View

Buchmann P, Rehli V, Ruckert R, Blum A, Largiader F . [Side effects of proximal selective vagotomy on the esophagus. II. Experimental study of effects of the esophageal motility and the lower esophageal sphincter (author's transl)]. Res Exp Med (Berl). 1978; 174(1):47-55. DOI: 10.1007/BF01851938. View

Crispin J, McIver D, LIND J . Manometric study of the effect of vagotomy on the gastroesophageal sphincter. Can J Surg. 1967; 10(3):299-303. View

Ismail-Beigi F, Horton P, Pope 2nd C . Histological consequences of gastroesophageal reflux in man. Gastroenterology. 1970; 58(2):163-74. View

Arndorfer R, Stef J, Dodds W, Linehan J, Hogan W . Improved infusion system for intraluminal esophageal manometry. Gastroenterology. 1977; 73(1):23-7. View

Wienbeck M, Rohde H, Troidl H, HEITMANN P, Lorenz W . [Esophageal function in duodenal ulcer prior to and following vagotomy]. Verh Dtsch Ges Inn Med. 1975; 81:1253-6. View

10.

Mann C, Code C, SCHLEGEL J, ELLIS Jr F . Intrinsic mechanisms controlling the mammalian gastro-oesophageal sphincter deprived of extrinsic nerve supply. Thorax. 1968; 23(6):634-9. PMC: 471875. DOI: 10.1136/thx.23.6.634. View

11.

BLACKMAN A, Rakatansky H, Nasrullah M, THAYER Jr W . Transabdominal vagectomy and lower esophageal function. Arch Surg. 1971; 102(1):6-8. DOI: 10.1001/archsurg.1971.01350010008002. View

12.

Butterfield D, STRUTHERS Jr J, Showalter J . A test of gastroesophageal sphincter competence. The common cavity test. Am J Dig Dis. 1972; 17(5):415-21. DOI: 10.1007/BF02231293. View

13.

Clarke S, PENRY J, Ward P . Oesophageal reflux after abdominal vagotomy. Lancet. 1965; 2(7417):824-6. DOI: 10.1016/s0140-6736(65)92450-5. View

14.

Martinoli S, Muller C, ALLGOWER M . [Pre- and postoperative manometeric findings in the esophagus in proximal selective vagotomy]. Helv Chir Acta. 1978; 45(1-2):75-9. View

15.

INGELFINGER F . Esophageal motility. Physiol Rev. 1958; 38(4):533-84. DOI: 10.1152/physrev.1958.38.4.533. View

16.

Williams J, Woodward D . The effect of subdiaphragmatic vagotomy on the function of the gastroesophageal sphincter. Surg Clin North Am. 1967; 47(6):1341-4. DOI: 10.1016/s0039-6109(16)38383-9. View

17.

Thomas P, Earlam R . The gastro-oesophageal junction before and after operations for duodenal ulcer. Br J Surg. 1973; 60(9):717-9. DOI: 10.1002/bjs.1800600916. View

18.

LIND J, Cotton D, Blanchard R, Crispin J, Dimopolos G . Effect of thoracic displacement and vagotomy on the canine gastresophageal junctional zone. Gastroenterology. 1969; 56(6):1078-85. View

19.

Mazur J, SKINNER D, Jones E, Zuidema G . Effect of transabdominal vagotomy on the human gastroesophageal high-pressure zone. Surgery. 1973; 73(6):818-22. View

20.

Waldeck F, Jennewein H, Siewert R . The continuous withdrawal method for the quantitative analysis of the lower oesophageal sphincter (LES) in humans. Eur J Clin Invest. 1973; 3(4):331-7. DOI: 10.1111/j.1365-2362.1973.tb00359.x. View