A re-evaluation of vagotomy and gastrojejunostomy for benign gastric outlet obstruction.

摘要

In a recent paper by Siu et al. in the Journal of Lap-aroendoscopic and Advanced Surgical Techniques, the authors presented their experience with this uncommon problem.l They reported on feasibility and outcome measures, and should be commended for their work in several respects.They had excellent long-term follow-up, with an average of 80 months. Obviously, they have been performing this operation since the mid-1990s. Very few studies in this area have attained this length of follow-up. The authors report that vagotomy and gastrojejunostomy can be performed safely, with limited mortality. They also describe the use of the laparoscopic approach to rule out malignancy as an etiology of the obstruction prior to formal therapeutic intervention.