The endoscopic Congo red test during proximal gastric vagotomy : an essential procedure

A previously described method for evaluating the completeness of proximal gastric vagotomy (PGV), the intraoperative endoscopic Congo red test (ECRT), may allow for a more complete parietal cell denervation and thus result in a lower long-term incidence of postvagotomy ulceration. Of 20 patients und...

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Bibliographic Details
Published in:Surgical endoscopy 1992, Vol.6 (1), p.16-17
Main Authors: SCHNEIDER, T. A, ANDRUS, C. H
Format: Article
Language:English
Subjects:
Biological and medical sciences
Congo Red
Duodenal Ulcer - epidemiology
Duodenal Ulcer - prevention & control
Duodenal Ulcer - surgery
Female
Gastroscopy
Humans
Intraoperative Care
Male
Medical sciences
Middle Aged
Recurrence
Retrospective Studies
Stomach, duodenum, intestine, rectum, anus
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the digestive system
Therapeutic Irrigation
Vagotomy, Proximal Gastric
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Summary:A previously described method for evaluating the completeness of proximal gastric vagotomy (PGV), the intraoperative endoscopic Congo red test (ECRT), may allow for a more complete parietal cell denervation and thus result in a lower long-term incidence of postvagotomy ulceration. Of 20 patients undergoing PGV, 12 (60%) required further gastric denervation after intraoperative ECRT of the following sites: right gastroepiploic nerve (7), the nerve of Grassi (4), and the lesser curvature (3). Confirmation of completeness of PGV by the ECRT was easily performed and ensured intraoperative quality control. The routine performance of intraoperative ECRT during PGV may ultimately decrease the incidence of subsequent recurrent ulceration.
ISSN:0930-2794
1432-2218
DOI:10.1007/BF00591181