Vagotomy shud be a compulsory component of any Bariatric surgery . Keeping in view the side effects on long-term use of proton pump inhibitors etc. Truncal vagotomy comes into light again In reducing acid secretion. Effects on the pyloric sphincter help in treating obesity and a Diabetes mellitus Reducing the incidence o the anastomotic ulcer . New role in reducing Obesity.
Dumping syndrome, Diarrhea etc are not seen because with gastrectomy , the volume of stomach is reduced, and dumping on jejunum won't happen . The use of vagotomy to treat obesity is now being studied. The vagus nerve provides efferent nervous signals out from the hunger and satiety centers of the hypothalamus, a region of the brain central to the regulation of food intake and energy expenditure. The circuit begins with an area of the hypothalamus, the arcuate nucleus, that has outputs to the lateral hypothalamus…
