How Do You Spell PROXIMAL GASTRIC VAGOTOMY?

1. Proximal Gastric Vagotomy is a surgical procedure that involves the selective cutting of the vagus nerve fibers that innervate the proximal or upper part of the stomach. This procedure is primarily performed to treat peptic ulcers or other conditions that involve excessive gastric acid production.

   During a proximal gastric vagotomy, a surgeon typically makes an incision in the abdomen to access the nerves that connect to the stomach. The vagus nerve fibers that stimulate acid secretion in the stomach are then carefully severed, leaving intact only the fibers responsible for gastric motility.

   By disrupting the transmission of nerve signals that trigger excessive acid secretion, a proximal gastric vagotomy aims to reduce the production of gastric acid, thus alleviating symptoms and promoting the healing of peptic ulcers. This procedure is often performed in combination with other surgical techniques, such as antrectomy or pyloroplasty, to enhance its effectiveness.

   Proximal gastric vagotomy is considered a safer alternative to the traditional truncal vagotomy, as it selectively targets the upper portion of the stomach while preserving its normal functions. It is usually recommended for patients with recurrent or severe peptic ulcers that have not responded to conservative treatments like medication therapy.

   It is important to note that proximal gastric vagotomy is a surgical procedure that should be performed by experienced surgeons. Post-surgery, patients are typically required to follow dietary modifications and take medications to manage stomach acid levels and prevent complications.

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