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العنوان
Evaluation of the role of laparoscopic truncal vagotomy and gastoro-jejunostomy for cicatrized duodenal ulcer:
المؤلف
Abd Elsalam, Mohamed Sabry Abd Elaleem.
هيئة الاعداد
باحث / محمد صبري عبد العليم عبد السلام
مناقش / محمد أمين صالح
مناقش / عبد الحميد أحمد غزال
مشرف / هاني مصطفي الحداد
الموضوع
Surgery.
تاريخ النشر
2021.
عدد الصفحات
53 p. :
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
جراحة
تاريخ الإجازة
21/12/2021
مكان الإجازة
جامعة الاسكندريه - كلية الطب - Surgery
الفهرس
Only 14 pages are availabe for public view

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Abstract

Duodenal disease treatment has evolved considerably. Despite the fact that the number of individuals having elective ulcer surgery has decreased, the number of patients requiring surgery for disease-related complications has remained stable. One of the side effects of a duodenal ulcer is pyloric stenosis. It might be due to people’ unwillingness to see a doctor in the first place. Other patients are hesitant to accept proper care. Pyloric stenosis causes chronic vomiting, dehydration, and weight loss in patients. The occurrence of pyloric stenosis necessitates surgery. Acid control and blockage bypass are the two main fundamentals of surgery. GJ’s TV show is a must-see.
This study included 15 patients who were hospitalised to the upper gastrointestinal surgery unit at Alexandria University Hospital with gastric outlet blockage caused by a cicatrized duodenal ulcer, which was verified endoscopically, with a barium study, and with a CT abdomen. There were 13 males and two females in the group. Their ages varied from 28 to 55. For all patients, a laboratory test and preoperative preparation are performed.
Laparoscopic All patients had successful laparoscopic truncal vagotomy and gastrojejunostomy procedures, with no conversions. The average operational time was 92.6 minutes, with a range of 75–155 minutes. On the third to fourth postoperative day, all patients began oral feeding. On the fourth or fifth postoperative day, the drain was removed. After initiating oral feeding, one patient suffered diarrhoea, while the other developed bilious vomiting; both were treated conservatively. Except for those who experienced complications, all patients stayed in the hospital for five days after surgery. After three months of follow-up, all of the patients were happy.