[Morphologic changes of the lesser gastric curvature after segmental gastrectomy associated to proximal gastric vagotomy. Experimental study in dogs]. 2000

L M Watanabe, and J I Andrade, and F F Neto, and R Ceneviva
Laboratório de Cirurgia Experimental, Hospital das Clínicas da Faculdade de Medicina, Universidade de São Paulo, Ribeirão Preto.

The segmental gastrectomy of the body of the stomach, combined with proximal gastric vagotomy, has been indicated in the treatment of duodenal ulcer, especially in patients with major risk of the recurrent ulceration. OBJECTIVE To evaluate the histopathologic changes, secondaries to combined corporeal segmental gastrectomy and proximal gastric vagotomy, in the lesser curvature of the stomach. METHODS Thirty-six adult mongrel dogs weighing between 10 to 20 kg were divided into three groups of twelve animals each: Group I animals (control) were submitted to laparotomy and gastric manipulation; Group II, animals underwent proximal gastric vagotomy; and Group III, animals underwent corporeal segmental gastrectomy combined with proximal gastric vagotomy. Each group was subdivided into two subgroups of six animals each, and according to the subgroup, the animals were then sacrificed on the third or in the eighth postoperative day. A fragment of the lesser curvature was removed from each stomach for microscopic study. RESULTS Regarding edema, vascular congestion, inflammatory exudate, fibrosis and cell damage; histopathologic changes found in animals sacrificed in the same postoperative day were slight in Group I, moderate in Group II and intense in the group III. Although nonspecific, the character and site of the lesions were similar to the ones occurring in ischemic process. It was also observed a directly proportional relation between severity of morphologic changes and ischemic potentiality of surgical procedure. CONCLUSIONS The segmental gastrectomy probably aggravated the arterial blood supply of the remnant of lesser curvature of the stomach, which was already compromised by devascularization consequent to proximal gastric vagotomy.

UI MeSH Term Description Entries
D004285 Dogs The domestic dog, Canis familiaris, comprising about 400 breeds, of the carnivore family CANIDAE. They are worldwide in distribution and live in association with people. (Walker's Mammals of the World, 5th ed, p1065) Canis familiaris,Dog
D004381 Duodenal Ulcer A PEPTIC ULCER located in the DUODENUM. Curling's Ulcer,Curling Ulcer,Curlings Ulcer,Duodenal Ulcers,Ulcer, Curling,Ulcer, Duodenal,Ulcers, Duodenal
D005743 Gastrectomy Excision of the whole (total gastrectomy) or part (subtotal gastrectomy, partial gastrectomy, gastric resection) of the stomach. (Dorland, 28th ed) Gastrectomies
D000818 Animals Unicellular or multicellular, heterotrophic organisms, that have sensation and the power of voluntary movement. Under the older five kingdom paradigm, Animalia was one of the kingdoms. Under the modern three domain model, Animalia represents one of the many groups in the domain EUKARYOTA. Animal,Metazoa,Animalia
D013270 Stomach An organ of digestion situated in the left upper quadrant of the abdomen between the termination of the ESOPHAGUS and the beginning of the DUODENUM. Stomachs
D014629 Vagotomy, Proximal Gastric Vagal denervation of that part of the STOMACH lined with acid-secreting mucosa (GASTRIC MUCOSA) containing the GASTRIC PARIETAL CELLS. Since the procedure leaves the vagal branches to the antrum and PYLORUS intact, it circumvents gastric drainage required with truncal vagotomy techniques. Vagotomy, Highly Selective,Vagotomy, Parietal Cell,Vagotomy, Selective Proximal,Gastric Vagotomies, Proximal,Gastric Vagotomy, Proximal,Highly Selective Vagotomies,Highly Selective Vagotomy,Parietal Cell Vagotomies,Parietal Cell Vagotomy,Proximal Gastric Vagotomies,Proximal Gastric Vagotomy,Proximal Vagotomies, Selective,Proximal Vagotomy, Selective,Selective Proximal Vagotomies,Selective Proximal Vagotomy,Selective Vagotomies, Highly,Vagotomies, Highly Selective,Vagotomies, Parietal Cell,Vagotomies, Proximal Gastric,Vagotomies, Selective Proximal

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