The Gastric Emptying and Small Intestinal Transit after Highly Selective Vagotomy without Drainage and Selective Vagotomy with Pyloroplasty

Abstract

Madsen, P., Kronborg, O. & Feldt-Rasmussen, K. The gastric emptying and small intestinal transit after highly selective vagotomy without drainage and selective vagotomy with pyloroplasty. Scand. J. Gastroent. 1973, 8, 541-543.

Fifty-four patients with duodenal ulcer were at random allocated highly selective vagotomy without drainage or selective vagotomy and pyloroplasty. Six months later the patients were examined by a nutritional contrast medium. The gastric emptying time and small intestinal transit time was shorter after selective vagotomy and pyloroplasty than after highly selective vagotomy. Fast gastric emptying and intestinal passage and fluid diffusion into the small intestine was more frequent in patients with provoked dumping than in those without. Contrast filling of the whole colon was seen in patients with provoked diarrhoea. Provoked dumping and diarrhoea did not occur after highly selective vagotomy.

Key-words::

• Diarrhoea
• dumping
• gastric emptying
• intestinal transit time
• vagotomy, highly selective
• vagotomy, selective