Post-vagotomy diarrhea

Post-vagotomy diarrhea
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Field	Gastroenterology
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Post-vagotomy diarrhea is a form of diarrhea which occurs in 10% of people after a truncal vagotomy, which can range from severe to debilitating in approximately 2% to 4% of patients.<ref name="surgical therapy">,

 Current surgical therapy, 
 10th edition, 
 Philadelphia, PA:Elsevier Saunders, 
  
  
  
 ISBN 978-1-4377-0823-3,</ref> However, the occurrence of post-vagotomy diarrhea is significantly reduced after proximal selective vagotomy, specifically when celiac and hepatic branches of the vagus are retained.<ref name="surgical therapy" />

Treatment

Surgical treatment for refractory post-vagotomy diarrhea is rarely needed and at least one year from the occurrence of symptoms should be allotted to ensure all non-surgical treatments have been appropriately explored. Under severe cases, where surgical intervention does become necessary, a 10 cm reverse jejunal interposition is usually the procedure of choice.<ref>,

 Mastery of endoscopic and laparoscopic surgery, 
 3rd edition, 
 Philadelphia, Pa.:Lippincott Williams & Wilkins, 
  
  
  
 ISBN 978-0781771986,</ref>

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