The surgeon makes an incision in the abdomen and locates the vagus nerve. Either the trunk or the branches leading to the stomach are cut. Then the abdominal muscles are sewn back together, and the skin is closed with sutures.
Often, other gastrointestinal surgery is performed at the same time as the vagotomy. Part of the stomach may be removed, for instance. Vagotomy causes a decrease in peristalsis and a change in the emptying patterns of the stomach.
Vagotomy is surgical incision of the vagus nerve. Vagotomy can be used, for instance, as a treatment for ulcers.
Patients who have had a vagotomy stay in the hospital for about seven days.
Parietal cell or proximal gastric vagotomy leaves the trunk intact, but severs the branches that go to different parts of the stomach.
Vagotomy
Ladislav Langer has written: 'Vagotomy and antropylorectomy in the surgical treatment of peptic ulcer' -- subject(s): Peptic ulcer, Surgery, Vagotomy
A gastroscopy and x rays of the gastrointestinal system are performed as diagnostic procedures to determine the position and condition of the ulcer. Standard preoperative blood and urine tests are done.
Ulcers recur in about 10% of those who have vagotomy without stomach removal. Recurrent ulcers are also found in 2-3% of patients who have some portion of their stomach removed.
In about 10% of those who have vagotomy without stomach removal, ulcers recur. Two to three percent of patients who have some portion of their stomach removed also have recurrent ulcers.
Vagotomy was widely carried out for peptic ulcer disease till the late 80's. The vagus nerve supply of the stomach was cut so as to reduce the acid production in the stomach and help the ulcer to heal. With the iintroduction of new drugs - H2 antagonist like Tagamet, Ranitidine followed by Proton pump inhibitors like omeprazole, for controlling the acidity in the stomach, vagotomy is rarely carried out now.
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It is an appropriate surgery when there are ulcer complications, such as obstruction of digestive flow, bleeding, or perforation.