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vagotomy
Indications:
- duodenal ulcers refractory to medical therapy
- gastric outlet obstruction
Procedure:
- surgical division or cutting of the vagus nerve
- truncal vagotomy functionally denervates & disconnects multiple organs, including the stomach, liver, gallbladder, pancreas, small intestine, & proximal colon
- selective vagotomy disconnects only the stomach
Complications:
- vitamin B12 deficiency may develop from a diminished production of intrinsic factor
Notes:
- truncal vagotomy may decrease risk for Parkinson's disease [3]
General
neurosurgery
References
- Stedman's Medical Dictionary 27th ed, Williams &
Wilkins, Baltimore, 1999
- Wikipedia: Vagotomy
http://en.wikipedia.org/wiki/Vagotomy
- Okun MS
Truncal Vagotomy Reduces Parkinson Disease Risk.
NEJM Journal Watch. April 26, 2017
Massachusetts Medical Society
(subscription needed) http://www.jwatch.org
- Liu B, Fang F, Pedersen NL et al.
Vagotomy and Parkinson disease: A Swedish register-based
matched-cohort study.
Neurology 2017 Apr 26
PMID: 28446653
http://www.neurology.org/content/early/2017/04/26/WNL.0000000000003961