[Technique and results of laparoscopic vagotomy in chronic duodenal XXXX ].

@entity1 @entity1066 @entity294 @entity4773 @entity1534
Advances made in the medical treatment of @entity4773 have lead to a sharp decrease in the number of @entity1 who are referred for operative therapy. Today surgery may be indicated in @entity1 with chronic and recurrent @entity1066 following failure of @entity1534 eradication regimens and in @entity1 with no or reduced compliance. Laparoscopic vagotomy procedures may offer this select group of @entity1 an additional benefit and comfort, if their short-term and long-term results are comparable to those achieved following conventional open vagotomy. This is a prospective study on @entity1 who underwent laparoscopic vagotomy using two different adapted methods evaluating short-term clinical and functional results. From October 1991 through April 1994 8 @entity1 were studied. 3 @entity1 received an anterior seromyotomy with posterior truncal vagotomy (according to Taylor) and 5 @entity1 underwent anterior linear strip gastrectomy with posterior truncal vagotomy (according to Gomez-Ferrer and Morris). All @entity1 had gastroduodenoscopy, secretory analysis of basal acid output (BAO) and maximal acid output (MAO) and evaluation of their @entity1534 status performed pre- and postoperatively. Median follow-up was 15 months. 5 @entity1 were completely asymptomatic, 2 @entity1 complained of mild bloating or reflux and 1 @entity1 had mild @entity294 up to 6 months postoperatively. None suffered an @entity1066 recurrency. All remained @entity1534 positive following surgery. Secretory analysis of acid production showed a 50-70% drop in BAO and MAO after vagotomy. Both vagotomy procedures described have been specifically adapted and are well suited for a laparoscopic approach. They are expedient and easy to employ. As clinical and functional data demonstrate they achieve short-term results comparable to those seen after conventional surgery.
