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Complications of vagotomy
The American Journal of Gastroenterology
|July 1, 1978
Summary
This review details complications from vagotomy surgery for peptic ulcer disease, focusing on postvagotomy syndromes. It covers their frequency, causes, and treatments, emphasizing medically manageable conditions.
Area of Science:
- Gastroenterology
- Surgical Pathology
Background:
- Peptic ulcer disease is frequently treated with surgery in the US.
- Vagotomy is a common component of these surgical procedures.
Purpose of the Study:
- To review complications associated with vagotomy.
- To detail the frequency, pathophysiology, and treatment of these complications.
Main Methods:
- Literature review of complications related to vagotomy.
- Analysis of technical issues, gastric retention, ulcer recurrence, and functional disorders.
Main Results:
- Complications include technical issues, gastric retention, recurrent ulcers, diarrhea, dysphagia, achalasia, biliary disease, and nutritional problems.
- Emphasis on postvagotomy syndromes, particularly those amenable to medical management.
Conclusions:
- Vagotomy is associated with a range of complications affecting gastrointestinal function and nutrition.
- Understanding pathophysiology and available treatments is crucial for managing postvagotomy syndromes.