| Summary: | Background/Aim. The incidence of peptic ulcer-induced gastric outlet
obstruction is constantly declining. The aim of this study was to present our
results in the treatment of gastric outlet obstruction with highly selective
vagotomy and gastrojejunostomy. Methods. This retrospective clinical study
included 13 patients with peptic ulcer - induced gastric outlet obstruction
operated with higly selective vagotomy and gastrojejunostomy. A 3-year
follow-up was conducted including clinical interview and upper
gastrointestinal endoscopy on 1 and 3 years after the surgery. Results. The
most common preoperative symptom was vomiting (in 92.3% of patients). The
mean preoperative body mass index was 16.3 ± 3.1 kg/m2, with 9 patients
classified preoperatively as underweight. There were no intraoperative
complications, nor mortality. At a 3-year follow-up there was no ulcer
recurrence. Delayed gastric emptying was present in 1, bile reflux in 2, and
erosive gastritis in 1 patient. Two patients suffered from mild “dumping”
syndrome. Conclusion. Higly selective vagotomy combined with
gastrojejunostomy is a safe and easily feasible surgical solution of gastric
outlet obstruction induced by peptic ulcer. Good functional results and low
rate of complications can be expected at a long-term follow-up.
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