Drainage procedures used with vagotomy

A number of drainage procedures are possible with truncal vagotomy. A gastrojejunostomy is best suited for patients in whom access to the pyloroduodenal area is not technically feasible. The Heineke-Mikulicz pyloroplasty (transverse closure of a longitudinal gastroduodenotomy) is frequently used after oversewing a bleeding duodenal ulcer. The Finney and Jaboulay gastroduodenostomies are used when the duodenal bulb is deformed from scarring.