Which nerve is cut in highly selective vagotomy?

Highly selective vagotomy. Like a selective vagotomy, this type involves only cutting the part of the vagus nerve that directly affects your stomach, preserving many of the vagus nerve’s other functions. This type is commonly done along with truncal vagotomy.

What is the purpose of a vagotomy?

What is a vagotomy? Vagotomy is a surgical procedure to sever part of the nerve that controls digestion. The aim is to reduce stomach acid. The vagus nerve is responsible for sensory and motor functions of the internal organs such as heart, lungs and the gastrointestinal system.

What is Antrectomy and vagotomy?

An antrectomy with vagotomy is usually done to treat ulcers. It is also done for bleeding, tears, blockage, or cancer in your stomach. Your surgeon will remove the lower part of your stomach. The stomach that is left will be attached to your intestine.

What is the effect of vagotomy?

The major immediate and intraoperative complications specific to truncal vagotomy include death, bleeding, and injury to the stomach or esophagus. Other complications such as staple line leak, anastomotic leak, and internal hernia may be inherent to the specific type of intestinal reconstruction done.

Why it is called criminal nerve of Grassi?

The right (posterior) vagus gives rise to a posterior gastric branch called the criminal nerve of Grassi—so called because it is often missed during vagotomy and is then responsible for the recurrence of PUD—which traverses to the left and supplies the cardia and the fundus.

Why does vagotomy cause diarrhea?

However, vagotomy often also damages branches of the vagus nerve innervating the liver and gallbladder. This leads to gallbladder distension and secretion of excess bile salts. This triggers diarrhoea.

What happens when you cut the vagus nerve?

If the vagus nerve becomes damaged by physical trauma or the growth of a tumor, it may cause digestive symptoms, or hoarseness, paralysis of the vocal cords and slowed heart rate.

Why is billroth done?

Billroth II gastrojejunostomy is a procedure that has been performed for tumor or severe ulcer disease in the distal stomach.

Does vagotomy cause delayed gastric emptying?

The vagotomy and antrectomy patients showed significant delay in gastric emptying one month after operation.