Surgical Management: Truncal, Selective, and Highly Selective Vagotomy
Peptic ulcer disease is a common cause of epigastric pain. In the past surgery used to be common in the management of the disease. However, with advancement in medical management of peptic ulcer disease, surgical management has been limited to emergent management of the disease in cases of bleeding and perforation. However surgeon should still be familiar with the relevant physiology and anatomy to manage the disease in adequate fashion. In this chapter we discuss clinically relevant physiology of gastric acid secretion and basic anatomical concepts. We describe minimally invasive approach to perform vagotomies. We then discuss our approach to post-op surgical management and finally briefly discuss the post-op complications associated with surgery.
KeywordsGastric acid Vagus nerve Peptic ulcer disease Truncal vagotomy Selective vagotomy Highly selective vagotomy
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