A truncal vagotomy is the division of the anterior and posterior trunks 4-cm proximal to the GEJ. Tshem tawm cov acetylcholine-mediated secretion ntawm acid los ntawm parietal hlwb. Qhov tshwm sim hauv qhov nrawm nrawm ntawm cov kua dej vim qhov kev tshem tawm ntawm vagally mediated receptive so ntawm plab hnyuv.
Lub hom phiaj ntawm vagotomy yog dab tsi?
A vagotomy yog txheej txheem phais uas tshem tawm ib feem ntawm koj lub paj hlwb, uas ua haujlwm ntau yam tseem ceeb, xws li tswj kev tsim cov kua qaub hauv plab. Yav dhau los, nws tau nquag siv los kho qhov mob, tab sis cov tshuaj tshiab tau ua rau nws tsis tshua muaj, tshwj xeeb tshaj yog ntawm nws tus kheej.
truncal vagotomy Antrectomy yog dab tsi?
Vagotomy-antrectomy, zoo dua nrog Billroth I reconstruction, yog ua haujlwm tau zoo tshaj plaws hauv kev siv tam sim no los tswj cov kab mob rov qab. Truncal vagotomy-pyloroplasty tsis yog txoj haujlwm zoo tshaj plaws los siv rau cov teeb meem ntawm qhov txhab.
YYuav ua li cas yog thoracic vagotomy?
Thoracic vagotomy nyob rau theem ntawm ventricle lossis hauv qab no tsis hloovtxawm tias peristalsis lossis LES so thaum nqos lossis lub ncauj tsev menyuam vagal stimulation. Secondary peristalsis thiab nws cov kev cuam tshuam LES so yog un altered los ntawm thoracic vagotomy ntawm ib theem.
Vajtswv txoj hlab ntshav thiab kab mob Antrectomy yog dab tsi?
Nyob ntawm seb hom vagotomy, tus kws phais txiav cov hlab ntsha vagus saum toj lossis hauv qab ntawm txoj hlab pas dig hniav lossis tsuas yogcov khoom txuas nrog lub cev ntawm lub plab. Tus kws phais yuav tshem tawm ib feem ntawm lub plab qis (antrectomy) lossis ua pyloroplasty.
