Table of Contents
Why is pyloroplasty done with vagotomy?
Truncal vagotomy. This type is commonly used with pyloroplasty or abdominal drainage to treat chronic peptic ulcers. It involves cutting one or more of the branches that split off the main trunk of the vagus nerve and travel down your esophagus to your stomach and other digestive organs.
What nerve is involved for vagotomy procedure?
This procedure cuts out part of the vagus nerve at the gastroesophageal junction. This is the area that connects the tube from your mouth, called the esophagus, to your stomach.
Does vagotomy increase gastric emptying?
It decreases gastric emptying, which reduces the acid input into the duodenum. SST also has a variety of other effects, including inhibition of the release of a number of protein hormones. Gastrin, ghrelin, and motilin all increase the rate of gastric emptying.
What branches should be cut off by high selective gastric vagus?
Surgery for Peptic Ulcer Disease The operation involves severing all branches of the vagus nerve along the lesser curvature that innervate the corpus and fundus of the stomach, while preserving the hepatic and celiac branches, as well as the distal vagal branches extending to the antrum and pylorus.
What happens when you cut the vagus nerve?
Damage to the vagus nerve can have a range of symptoms because the nerve is so long and affects many areas. Potential symptoms of damage to the vagus nerve include: difficulty speaking or loss of voice. a voice that is hoarse or wheezy.
What is function of nerve of Latarjet?
It functions by increasing peristalsis and relaxing the sphincter, thus draining the contents of the stomach into the first part of duodenum. If damage occurs to this nerve, it can cause retention syndrome.
What is highly selective vagotomy?
Highly selective vagotomy refers to denervation of only those branches supplying the lower esophagus and stomach (leaving the nerve of Latarjet in place to ensure the emptying function of the stomach remains intact). It is one of the treatments of peptic ulcer.
Can a cut vagus nerve be repaired?
Once the vagus nerve is cut, it can’t be restored — a potential drawback, because the reduced appetite and slowed digestion may no longer be required or even desirable once a patient attains a healthy body weight.
What is the recovery time for pyloroplasty?
Recovering from pyloroplasty is fairly quick. Most people can begin to gently move or walk within 12 hours after the surgery. Many go home after about three days of medical monitoring and care. More complex pyloroplasty surgeries may require an extra few days in the hospital.
Are there different types of truncal vagotomy and pyloroplasty?
Three different types of pyloroplasty have been described. Truncal vagotomy and pyloroplasty is a relatively simple procedure, but there are some nuances that will prevent recurrences and complications. It can be performed laparoscopically or with open surgical technique.
Which is the best description of a vagotomy?
Three types of vagotomy have been described: truncal vagotomy, selective vagotomy, and highly selective (or parietal cell) vagotomy. Truncal vagotomy is a total abdominal vagotomy in which both vagal trunks are divided at the esophageal hiatus.
When was pyloroplasty first used for vagotomy?
Pyloroplasty was originally described independently by two surgeons, Heineke and Mikulicz, in 1888, decades before its routine application for drainage after vagotomy. The Heineke–Mikulicz (HM) pyloroplasty is popular because it is technically uncomplicated, widely applicable, and associated with few complications.
Is there a drainage procedure after selective vagotomy?
Because truncal vagotomy and selective vagotomy denervate the antrum, a drainage procedure, such as pyloroplasty, must be performed. No drainage procedure is needed after highly selective vagotomy because antral innervation is preserved.