RT Book, Section A1 Ellison, E. Christopher A1 Zollinger, Jr., Robert M. A1 Pawlik, Timothy M. A1 Vaccaro, Patrick S. A1 Bitans, Marita A1 Baker, Anthony S. SR Print(0) ID 1187820762 T1 Vagotomy T2 Zollinger’s Atlas of Surgical Operations, 11e YR 2022 FD 2022 PB McGraw-Hill Education PP New York, NY SN 9781260440850 LK accesssurgery.mhmedical.com/content.aspx?aid=1187820762 RD 2024/03/28 AB Bilateral resection of segments of the vagus nerves in the region of the lower esophagus is a key component in treating intractable duodenal or gastrojejunal ulcers that are refractory to antisecretory medicine. The motor paralysis and resulting gastric retention that may follow truncal vagotomy alone make it mandatory that a concomitant gastric resection or drainage procedure such as pyloroplasty or an antrally placed gastroenterostomy be performed. Gastrojejunal or stomal ulcers following a previous gastrectomy or gastrojejunostomy show a favorable response to vagotomy. The use of vagotomy to control the cephalic phase of secretion is preferred when it is desirable to retain as much gastric capacity as possible because of the preoperative nutritional status of the patient with a duodenal ulcer.