1982 Volume 18 Issue 5 Pages 331-338
The patterns of gastric emptying after selective proximal vagotomy (SPV) and SPV with pyloroplasty (SPV+D) were studied using a liquid labelled with 99mTc-DTPA.
By means of on-line computer facility, it was possible to analyse the relative role of the Whole stomach and the antrum within the overall frame work of gastric emptying.
In the time/activity curve of the whole stomach, all of 3 groups emptied in exponential curve. Comparing with normal subjects, SPV subjects were tending to empty slowly, while SPV+D subjects were tending to empty rapidly.
In the time/activity curve of the antrum, normal and SPV+D subjects had two types of emptying-one was represented in the decreasing curve and another was represented in the increasing-decreasing curve. While SPV subjects had only one type of emptying which was represented in the increasing-decreasing curve.
From a consideration of the pattern of gastric emptying curve, SPV subjects had two different emptying states compared with normal subjects-one was the delay of entering the antrum from the fundic side of stomach, and the other was that effective antral emptying did not readily start. While SPV+D kept more neally normal gastric emptying that it of SPV.
