The effect of a subthreshold dose of carbachol on alimentary transit of a radioisotopically labelled fluid test meal was measured before and after vagotomy and pyloromyotomy in rats. Vagotomy itself had a transient slowing effect on the rates of gastric emptying and transit in the upper small intestine. Subthreshold carbachol had no effect before vagotomy but accelerated gastric emptying and sm...

BACKGROUND There are controversies regarding the usefulness of the pyloric drainage methods after esophagectomy as well as differences among various pyloric drainage techniques. Therefore, we compared the outcome of pyloromyotomy, pylorus buginage, and no intervention methods on gastric emptying among patients undergone esophagectomy. MATERIALS AND METHODS In this randomized clinical trial, p...

PURPOSE To analyze the benefit and feasibility of this procedure compared with those of open method. METHODS Abdominal procedure includes laparoscopic gastric mobilization, celiac axis lymph node dissection, formation of the gastric tube, and pyloromyotomy. The actual procedure performed during open surgery is the same as those of laparoscopic surgery except for the main incision. Minimally i...

BACKGROUND/PURPOSE Laparoscopic pyloromyotomy has recently gained wide acceptance as the optimum treatment of infantile hypertrophic pyloric stenosis (IHPS). However, medical treatment may be superior to laparoscopic surgery in invasiveness. The efficacy of our regimen of intravenous atropine therapy for IHPS was assessed in comparison with surgical treatment. METHODS Medical treatment was in...

Post-vagotomy Gastroparesis occurs in 15-50% of patients following esophagectomy with gastric interposition, and results in aspiration pneumonia, persistent nausea, intolerance of oral intake, weight loss, and poor quality of life (QoL). Subsequently, this can contribute to significant morbidity and mortality in these patients. Currently, the efficacy of pyloric drainage procedures to prevent p...