LAPAROSCOPIC MODIFIED HILL-BARKER VAGOTOMY WITH GASTROJEJUNOSTOMY FOR PARTIAL GASTRIC OUTLET OBSTRUCTION

A 50-year-old female presented with partial gastric outlet obstruction due to pyloric and duodenal stenosis secondary to peptic ulcer disease. Despite a history of multiple dilations, she continued to experience severe nausea, vomiting, and weight loss. After negative workup for malignancy, she underwent a laparoscopic selective anterior vagotomy with highly selective posterior vagotomy with gastrojejunostomy as she wished to avoid the possible side effects of truncal vagotomy. Despite the declining incidence of surgical management of peptic ulcer disease due to the success of medical therapies, surgeons should have an understanding of surgical and medical management of peptic ulcer disease.