Postvagotomy dysphagia

J. Y. Shiah, C. Y. Chen, C. L. Chen, C. P. Hsu, N. Y. Hsu, P. Y. Wang

Research output: Contribution to journalArticle

Abstract

Of the complications occurring after vagotomy, dysphagia has not been considered a major problem. Nevertheless, it does occur, after all types of vagotomy. In 1947, Moses described the first patient with this condition. The incidence of dysphagia following vagotomy varies, with reports ranging from 0% to 37%, probably a reflection of lack of uniform investigation of this problem. The mechanism of postvagotomy dysphagia can usually be attributed to one of the following: an unrecognized preoperative esophageal disorder, temporary neurogenic or hormonal imbalance, transient periesophageal inflammatory reaction, periesophageal fibrosis or reflux esophagitis. The principle of treatment for this complication is conservative, by dilatations. If prompt response to dilatations is not obtained, operation with division or excision of the stenotic esophagus should be done. Three cases of persistent dysphagia after truncal vagotomy are reported, with successful treatment: one, by dilatation, and two, by operation. According to experience here plus literature review, surgical trauma to the periesophageal tissue during vagotomy is concluded to be the most important factor in persistent postvagotomy dysphagia. Avoidance of rough dissection during operation may be the best method to decrease the incidence of this complication.

Original languageEnglish
Pages (from-to)2754-2759
Number of pages6
JournalJournal of Surgical Association Republic of China
Volume27
Issue number6
Publication statusPublished - 1994
Externally publishedYes

Fingerprint

Deglutition Disorders
Vagotomy
Dilatation
Truncal Vagotomy
Peptic Esophagitis
Incidence
Esophagus
Dissection
Fibrosis
Wounds and Injuries
Therapeutics

ASJC Scopus subject areas

  • Surgery

Cite this

Shiah, J. Y., Chen, C. Y., Chen, C. L., Hsu, C. P., Hsu, N. Y., & Wang, P. Y. (1994). Postvagotomy dysphagia. Journal of Surgical Association Republic of China, 27(6), 2754-2759.

Postvagotomy dysphagia. / Shiah, J. Y.; Chen, C. Y.; Chen, C. L.; Hsu, C. P.; Hsu, N. Y.; Wang, P. Y.

In: Journal of Surgical Association Republic of China, Vol. 27, No. 6, 1994, p. 2754-2759.

Research output: Contribution to journalArticle

Shiah, JY, Chen, CY, Chen, CL, Hsu, CP, Hsu, NY & Wang, PY 1994, 'Postvagotomy dysphagia', Journal of Surgical Association Republic of China, vol. 27, no. 6, pp. 2754-2759.
Shiah JY, Chen CY, Chen CL, Hsu CP, Hsu NY, Wang PY. Postvagotomy dysphagia. Journal of Surgical Association Republic of China. 1994;27(6):2754-2759.
Shiah, J. Y. ; Chen, C. Y. ; Chen, C. L. ; Hsu, C. P. ; Hsu, N. Y. ; Wang, P. Y. / Postvagotomy dysphagia. In: Journal of Surgical Association Republic of China. 1994 ; Vol. 27, No. 6. pp. 2754-2759.
@article{6d4240c8f970428db63e283144e701f3,
title = "Postvagotomy dysphagia",
abstract = "Of the complications occurring after vagotomy, dysphagia has not been considered a major problem. Nevertheless, it does occur, after all types of vagotomy. In 1947, Moses described the first patient with this condition. The incidence of dysphagia following vagotomy varies, with reports ranging from 0{\%} to 37{\%}, probably a reflection of lack of uniform investigation of this problem. The mechanism of postvagotomy dysphagia can usually be attributed to one of the following: an unrecognized preoperative esophageal disorder, temporary neurogenic or hormonal imbalance, transient periesophageal inflammatory reaction, periesophageal fibrosis or reflux esophagitis. The principle of treatment for this complication is conservative, by dilatations. If prompt response to dilatations is not obtained, operation with division or excision of the stenotic esophagus should be done. Three cases of persistent dysphagia after truncal vagotomy are reported, with successful treatment: one, by dilatation, and two, by operation. According to experience here plus literature review, surgical trauma to the periesophageal tissue during vagotomy is concluded to be the most important factor in persistent postvagotomy dysphagia. Avoidance of rough dissection during operation may be the best method to decrease the incidence of this complication.",
author = "Shiah, {J. Y.} and Chen, {C. Y.} and Chen, {C. L.} and Hsu, {C. P.} and Hsu, {N. Y.} and Wang, {P. Y.}",
year = "1994",
language = "English",
volume = "27",
pages = "2754--2759",
journal = "Formosan Journal of Surgery",
issn = "1011-6788",
publisher = "臺灣外科醫學會",
number = "6",

}

TY - JOUR

T1 - Postvagotomy dysphagia

AU - Shiah, J. Y.

AU - Chen, C. Y.

AU - Chen, C. L.

AU - Hsu, C. P.

AU - Hsu, N. Y.

AU - Wang, P. Y.

PY - 1994

Y1 - 1994

N2 - Of the complications occurring after vagotomy, dysphagia has not been considered a major problem. Nevertheless, it does occur, after all types of vagotomy. In 1947, Moses described the first patient with this condition. The incidence of dysphagia following vagotomy varies, with reports ranging from 0% to 37%, probably a reflection of lack of uniform investigation of this problem. The mechanism of postvagotomy dysphagia can usually be attributed to one of the following: an unrecognized preoperative esophageal disorder, temporary neurogenic or hormonal imbalance, transient periesophageal inflammatory reaction, periesophageal fibrosis or reflux esophagitis. The principle of treatment for this complication is conservative, by dilatations. If prompt response to dilatations is not obtained, operation with division or excision of the stenotic esophagus should be done. Three cases of persistent dysphagia after truncal vagotomy are reported, with successful treatment: one, by dilatation, and two, by operation. According to experience here plus literature review, surgical trauma to the periesophageal tissue during vagotomy is concluded to be the most important factor in persistent postvagotomy dysphagia. Avoidance of rough dissection during operation may be the best method to decrease the incidence of this complication.

AB - Of the complications occurring after vagotomy, dysphagia has not been considered a major problem. Nevertheless, it does occur, after all types of vagotomy. In 1947, Moses described the first patient with this condition. The incidence of dysphagia following vagotomy varies, with reports ranging from 0% to 37%, probably a reflection of lack of uniform investigation of this problem. The mechanism of postvagotomy dysphagia can usually be attributed to one of the following: an unrecognized preoperative esophageal disorder, temporary neurogenic or hormonal imbalance, transient periesophageal inflammatory reaction, periesophageal fibrosis or reflux esophagitis. The principle of treatment for this complication is conservative, by dilatations. If prompt response to dilatations is not obtained, operation with division or excision of the stenotic esophagus should be done. Three cases of persistent dysphagia after truncal vagotomy are reported, with successful treatment: one, by dilatation, and two, by operation. According to experience here plus literature review, surgical trauma to the periesophageal tissue during vagotomy is concluded to be the most important factor in persistent postvagotomy dysphagia. Avoidance of rough dissection during operation may be the best method to decrease the incidence of this complication.

UR - http://www.scopus.com/inward/record.url?scp=0028598715&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0028598715&partnerID=8YFLogxK

M3 - Article

VL - 27

SP - 2754

EP - 2759

JO - Formosan Journal of Surgery

JF - Formosan Journal of Surgery

SN - 1011-6788

IS - 6

ER -