"mdwannabe" wrote:
Cogratulations of your 4100th post :-)
Nothing great about it MDwannabe ,my mind is empty though 
your less posts makes more sense than mine 4100
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| bozhenka
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Vagotomy with antrectomy
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| asmi
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Can anybody tell me the difference between bilroth I and II gastrectomy ?
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| bozhenka
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Billroth I - gastroduodenal reconstruction
Billroth II - gastrojejunal reconstruction
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| mdwannabe
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Bill.I - cut the antrum, then cut the ulcerated portion of duadenum, anastamose them.
Bill II.- cut the antrum, close off the duadenum, anastamose stomach with jejenum.
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| asmi
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Thanks
whats the difference between trunacal vagotomy and highly selective vagotomoy ?
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| mdwannabe
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i think it is the difference of the level of section of Vagus. In Truncal..you section vagi by esophagus. In highly selective..probably lower than esoph. plexi.
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"Life not lived for others, is not worth living" Uncle Einstein
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| usmleasr
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yes..also in highly selective we resect parasympathetic fibers responsible for gastric secrtion alone and so motility is normal(gastric emptying etc)..
but motility fibers are also lost in truncal vagotomy i guess..
correct me if i am wrong
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| docdoc
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In highly selective vagotomy, the nerve supply to the muscle of pyloric antrum is left intact. The branches of Vagus that supply the parietal cell mass are all meticulously divided, leaving the main anterior and posterior nerves of Latarjet intact. The main vagal trunks are left intact also, thus sparing the nerve supply to the liver, gall-bladder, pancreas and intestine.
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