Post vagotomy syndrome

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Classification according to ICD-10
K91.1 Syndromes of the operated stomach
ICD-10 online (WHO version 2019)

Postvagotomy diarrhea and postvagotomy syndrome are terms from human medicine that are used for symptoms after certain operations on the stomach .

It is a comprehensive term for clinical pictures that can occur acutely or chronically after proximal gastric vagotomy .

The following can be distinguished:

  • early postoperative clinical pictures in the first few weeks
    • Secondary bleeding
    • transient gastric atony
    • Cardiac dysfunction
    • Suture insufficiency
    • Wound healing disorders
    • Incisional hernias
  • chronic secondary diseases
    • Post vagotomy dysphagia
    • Cardiac insufficiency and reflux
    • vagal denervation syndrome
    • Post-vagotomy diarrhea
    • Cholelithiasis after vagotomy
    • postoperative ulcer

As Postvagotomiesyndrom the combination is still occasionally today symptoms bloating , belching and diarrhea due to a stomach operation with complete transection of both vagus nerves ( trunkuläre vagotomy called). The term post-vagotomy diarrhea is more common today if diarrhea occurs after such an operation. This can tentatively with cholestyramine therapy are.

Individual evidence

  1. a b Bernfried Leiber (founder): The clinical syndromes. Syndromes, sequences and symptom complexes . Ed .: G. Burg, J. Kunze, D. Pongratz, PG Scheurlen, A. Schinzel, J. Spranger. 7., completely reworked. Edition. tape 2 : symptoms . Urban & Schwarzenberg, Munich et al. 1990, ISBN 3-541-01727-9 .
  2. ^ EG Hahn, JF Riemann (Ed.): Clinical Gastroenterology . 3rd edition Thieme Verlag, 1999, ISBN 3-13-119143-0 .
  3. W. Siegenthaler (Ed.): Siegenthaler's differential diagnosis . 19th edition Georg Thieme Verlag, 2005, ISBN 3-13-344819-6 .