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Surgical Management: Truncal, Selective, and Highly Selective Vagotomy

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The SAGES Manual of Foregut Surgery

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Abstract

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.

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Author information

Authors and Affiliations

  1. Metabolic and Bariatric Program, Department of Surgery, University Hospitals, Cleveland, OH, USA

    Leena Khaitan

  2. Department of Surgery, University Hospitals, Cleveland Medical Center, Cleveland, OH, USA

    Adil Haleem Khan

Authors
  1. Leena Khaitan
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  2. Adil Haleem Khan
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Corresponding author

Correspondence to Leena Khaitan .

Editor information

Editors and Affiliations

  1. University of Alabama at Birmingham , Birmingham, AL, USA

    Jayleen Grams

  2. The Ohio State University, Columbus, OH, USA

    Kyle A. Perry

  3. Brigham and Women’s Hospital, Boston, MA, USA

    Ali Tavakkoli

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Khaitan, L., Khan, A.H. (2019). Surgical Management: Truncal, Selective, and Highly Selective Vagotomy. In: Grams, J., Perry, K., Tavakkoli, A. (eds) The SAGES Manual of Foregut Surgery . Springer, Cham. https://doi.org/10.1007/978-3-319-96122-4_56

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  • DOI: https://doi.org/10.1007/978-3-319-96122-4_56

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-96121-7

  • Online ISBN: 978-3-319-96122-4

  • eBook Packages: MedicineMedicine (R0)

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