Vagotomy Selective Proximal

Selective proximal vagotomy: Basics, procedure and potential benefits

Selective proximal vagotomy, also known as vagotomy selectiva proximalis, is a medical procedure that is used to treat certain pathologies of the gastrointestinal tract. This procedure is performed to block the nerve supply to certain areas of the stomach by cutting or blocking the vagal nerve.

The vagal nerve, or femoral nerve, plays an important role in controlling the functions of the gastrointestinal tract. It is responsible for transmitting nerve impulses between the brain and various organs of the gastrointestinal tract, such as the stomach, esophagus and intestines. In some diseases, such as stomach ulcers, gastroesophageal reflux disease (GERD), or uncontrolled vomiting, overactivity of the vagal nerve may contribute to the development of symptoms and deterioration of the patient's condition.

The selective proximal vagotomy procedure is aimed at blocking the vagal nerve in its proximal (near) part, located closer to the stomach. This allows some nerve function to be preserved in more distal areas associated with normal bowel function. This approach allows for a balance to be achieved between blocking the undesirable effects of overactive vagal innervation and maintaining normal gastrointestinal motor function.

The selective proximal vagotomy procedure can be performed using a variety of techniques, including traditional surgery or minimally invasive techniques such as laparoscopy. During the procedure, the surgeon locates the proximal vagal nerve and cuts or blocks it. This reduces nerve activity in the stomach area and reduces the incidence of uncontrollable symptoms.

One potential benefit of selective proximal vagotomy is a reduction in symptoms associated with gastroesophageal reflux and peptic ulcer disease. This may include reducing stomach acidity, reducing the reflux of acid from the stomach into the esophagus, and reducing the incidence of ulcers. In addition, this procedure is sometimes used as an adjuvant treatment for obesity and diabetes.

However, as with any surgical procedure, selective proximal vagotomy may carry a risk of complications. Some of the possible complications include temporary or permanent problems with stomach motility, diarrhea, heartburn, digestive problems, and changes in stomach sensitivity.

Before performing selective proximal vagotomy, physicians must carefully evaluate the patient and his or her condition to determine the indications and potential benefits and risks of the procedure. As with any medical intervention, the decision to perform a selective proximal vagotomy must be made on an individual basis, taking into account the specific situation of each patient.

In conclusion, selective proximal vagotomy is a medical procedure that can be used to treat certain pathologies of the gastrointestinal tract. It is aimed at blocking the vagal nerve in its proximal part in order to reduce nerve activity in the stomach and improve the patient's condition. However, the decision to undergo this procedure should be based on a careful assessment of the benefits and risks for each patient.

Vagotomy selective proximal

Vagotomy translated from Latin means “resection of the stomach,” i.e. removal of part of the contents of the stomach, which is accompanied by disruption of the functioning of a number of organs of the peritoneal tract and changes in their structure. It was in order to avoid negative effects that in previous times this operation was considered the last possible measure before surgery on the bile ducts. Currently, it is carried out as the first stage in the treatment of pancreatitis by creating a certain direction for the movement of intestinal contents through the system. Stomach - intestines - small intestine - large intestine. Vagotomy is an operative tactic for acute and chronic pancreatitis of the “zero” type.