Vagotomy

The vagotomy is a method for the surgical treatment of gastric ulcer or duodenal ulcer.

During surgery branches of the vagus nerve are ( tenth cranial nerve) severed that supply the stomach. This is to the production of acidic gastric secretions are reduced. This operation has become obsolete for ulcer therapy today due to the development of mostly very good effective proton pump inhibitors ( PPI) and the importance of eradication of the bacterium Helicobacter pylori.

Forms of vagotomy

In principle, it is possible to sever the vagus nerve (right and left main stem ) or shares of the nerve anatomically different heights, the following terms are chosen according to:

1 Thoracic vagotomy: transection of the main tribes in the chest

2 Trunkuläre vagotomy: transection of the main stems ( vagal trunk anterior and posterior) from the abdominal cavity in the lower esophagus

3 Gastric vagotomy: transection of the nerves to the stomach protracted shares upon receipt of the nerve branches (eg the liver )

Selective proximal vagotomy 4 (SPV or " Parietalzellvagotomie " ): transection of the stomach drawn-out nerve branches with the preservation of the pylorus ( pylorus ) withdrawing shares ( N. Latarjet )

Swell

H.-D. Becker, W. Lierse, H. W. Schreiber (Editor ), gastric surgery, Springer -Verlag, Heidelberg, New York, Tokyo, 1986, ISBN 3-540-12417-9