Wonderful class sir...sir one query is that why vagus (parasympathetic nerve) denervation cause diarrhea bcs we know that parasympathetic system denervation cause constipation!!!
If intestinal peristalsis is not controlled by any means, then nothing is going to stay in intestine and if everything goes out then result is diarrhoea..
I am 74 years old. I underwent GJ with Vagotomy (both the vagus) in 1970. Afterwards I was relieved of GU related pain (empty stomach), forced vomiting (post food consumption), again pain due to empty stomach. To address the bile problem post surgery, I was supported with antacids for few years. Now, my fear or doubt: am I likely to be or positively prone to carcinoma of stomach? Cause of my fear is a cursory reading of a Medical Scieces Bulletin of large number of such GJ-Vag patients facing carcinoma at ripe age.
@@arupdebbarma4420 from 1970 to 1998 I had no problem of any kind. Initially, for about one year I was asked to take Pepsamar (those days antacid tab) after every meal. But, after some time I tapered the dosage bringing in control in qty food consumption. If I stop at the first sign of belching or hunger satiation, I didn't have any discomfort. This, I put an end to antacids. I stopped all carb beverages. In 1998, unfortunately, I experienced a sudden blockage in smaller intestine exit point connecting larger intestine. This led to complete choking of anal gas release (like our kitchen sink blocking). Outcome of this was whatever I consumed I was forced to vomit (some 30 tines in 3 hrs) when I noticed even green fluid exit with vomit. I rushee to my surgeon that later led to a laparotomy. Procedure revealed some bolus (digested sticky or viscous residue) stuck at the exit of smaller intestine tiny tube connecting larger intestine. Afterwards no issues. I am hale and healthy now. No antacids or laxatives. Normal food of limited spice. GJ with Vagatomy is a sort of permanent solution to relieve pain as well as unwanted drugs of varying potency or venturing with new formulations.
@@gopalannagarajan2772I had anterior vagotomy only one cut vagus nerve After my health is not well Everyday I face nausea Headache.... dizziness.... Heart racing Now I am soon die
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Thank you sir ! This so helpful when explained with such simplicity and precision.
Thank you so much !! 🙏
Most cleanest explanation Sir
Thank you sir ,very well explained everything ❤
Very helpful to me. Thank you
Extremely good
Thank you sir
Wonderful class sir...sir one query is that why vagus (parasympathetic nerve) denervation cause diarrhea bcs we know that parasympathetic system denervation cause constipation!!!
If intestinal peristalsis is not controlled by any means, then nothing is going to stay in intestine and if everything goes out then result is diarrhoea..
@@santhoshsan3937 hello apne vagotomy karwa ya hain
Thankyou so much. So well explained. Just amazing.
Thanks sir so much
Very useful and well explained sir...
I am 74 years old. I underwent GJ with Vagotomy (both the vagus) in 1970. Afterwards I was relieved of GU related pain (empty stomach), forced vomiting (post food consumption), again pain due to empty stomach. To address the bile problem post surgery, I was supported with antacids for few years. Now, my fear or doubt: am I likely to be or positively prone to carcinoma of stomach? Cause of my fear is a cursory reading of a Medical Scieces Bulletin of large number of such GJ-Vag patients facing carcinoma at ripe age.
Not always it happens sir.. pls do endoscopy once in 1 year if you have pain or indigestIon
@@drrrmgastro
No problem of pain or indigestion, so far. Maintaining good health. Thanks for your prompt response. Regards,
@@arupdebbarma4420 from 1970 to 1998 I had no problem of any kind. Initially, for about one year I was asked to take Pepsamar (those days antacid tab) after every meal. But, after some time I tapered the dosage bringing in control in qty food consumption. If I stop at the first sign of belching or hunger satiation, I didn't have any discomfort. This, I put an end to antacids. I stopped all carb beverages. In 1998, unfortunately, I experienced a sudden blockage in smaller intestine exit point connecting larger intestine. This led to complete choking of anal gas release (like our kitchen sink blocking). Outcome of this was whatever I consumed I was forced to vomit (some 30 tines in 3 hrs) when I noticed even green fluid exit with vomit. I rushee to my surgeon that later led to a laparotomy. Procedure revealed some bolus (digested sticky or viscous residue) stuck at the exit of smaller intestine tiny tube connecting larger intestine. Afterwards no issues. I am hale and healthy now. No antacids or laxatives. Normal food of limited spice. GJ with Vagatomy is a sort of permanent solution to relieve pain as well as unwanted drugs of varying potency or venturing with new formulations.
@@gopalannagarajan2772I had anterior vagotomy only one cut vagus nerve
After my health is not well
Everyday I face nausea
Headache.... dizziness....
Heart racing
Now I am soon die
@@arupdebbarma4420 1. Truncal. In 1970 no such advanced proc as 2. Highly selective vagatomy.
Thank u so much sir!!!
Amazing
Excellent sir
Well explained
🤗
Sir can you please guide us with a video on preparation for pg in afmc?
Sir , could u suggest a book for final year surgery other than SRB nd beily
Manipal,agarwal