questionsmedicales.fr
Procédures de chirurgie opératoire
Procédures de neurochirurgie
Dénervation
Dénervation autonome
Parasympathectomie
Vagotomie
Vagotomie gastrique proximale
Vagotomie gastrique proximale : Questions médicales fréquentes
Diagnostic
5
Ulcère gastrique
Endoscopie
Vagotomie
Tests diagnostiques
Douleur abdominale
Ulcère gastrique
Symptômes
5
Ulcère gastrique
Symptômes
Vagotomie
Troubles digestifs
Prévention
5
Prévention
Ulcère gastrique
Alimentation
Ulcère gastrique
Probiotiques
Ulcère gastrique
Traitements
5
Ulcère gastrique
Traitement
Vagotomie
Ulcère gastrique
Ulcère gastrique
Traitements alternatifs
Complications
5
Complications
Urgence médicale
Facteurs de risque
5
Facteurs de risque
Ulcère gastrique
Hérédité
Ulcère gastrique
Infection
Ulcère gastrique
Médicaments
Ulcère gastrique
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"name": "Comment diagnostiquer un ulcère gastrique ?",
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{
"@type": "Question",
"name": "Quels tests sont nécessaires avant une vagotomie ?",
"position": 2,
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"@type": "Question",
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{
"@type": "Question",
"name": "Quels sont les symptômes d'un ulcère gastrique ?",
"position": 6,
"acceptedAnswer": {
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"text": "Les symptômes incluent des douleurs abdominales, des nausées, des vomissements et des ballonnements."
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{
"@type": "Question",
"name": "Comment se manifeste une complication de vagotomie ?",
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}
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{
"@type": "Question",
"name": "Y a-t-il des symptômes spécifiques après une vagotomie ?",
"position": 8,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des symptômes comme la diarrhée ou des troubles de la digestion peuvent survenir après l'opération."
}
},
{
"@type": "Question",
"name": "Quels signes indiquent une infection post-opératoire ?",
"position": 9,
"acceptedAnswer": {
"@type": "Answer",
"text": "Une fièvre, des rougeurs ou un écoulement au site chirurgical peuvent indiquer une infection."
}
},
{
"@type": "Question",
"name": "Comment reconnaître une gastrite post-vagotomie ?",
"position": 10,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des douleurs gastriques, des nausées et des vomissements peuvent signaler une gastrite post-opératoire."
}
},
{
"@type": "Question",
"name": "Comment prévenir les ulcères gastriques ?",
"position": 11,
"acceptedAnswer": {
"@type": "Answer",
"text": "Éviter le tabac, l'alcool et les anti-inflammatoires non stéroïdiens aide à prévenir les ulcères."
}
},
{
"@type": "Question",
"name": "Y a-t-il des mesures préventives après une vagotomie ?",
"position": 12,
"acceptedAnswer": {
"@type": "Answer",
"text": "Une alimentation équilibrée et un suivi médical régulier sont essentiels après une vagotomie."
}
},
{
"@type": "Question",
"name": "Quels aliments éviter pour prévenir les ulcères ?",
"position": 13,
"acceptedAnswer": {
"@type": "Answer",
"text": "Évitez les aliments épicés, acides et gras pour réduire le risque d'ulcères gastriques."
}
},
{
"@type": "Question",
"name": "Comment le stress influence-t-il les ulcères ?",
"position": 14,
"acceptedAnswer": {
"@type": "Answer",
"text": "Le stress peut aggraver les symptômes d'ulcères gastriques, donc la gestion du stress est cruciale."
}
},
{
"@type": "Question",
"name": "Les probiotiques aident-ils à prévenir les ulcères ?",
"position": 15,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les probiotiques peuvent aider à maintenir une flore intestinale saine et réduire le risque d'ulcères."
}
},
{
"@type": "Question",
"name": "Quel est le traitement principal des ulcères gastriques ?",
"position": 16,
"acceptedAnswer": {
"@type": "Answer",
"text": "Le traitement principal inclut des médicaments antiacides et, si nécessaire, une vagotomie."
}
},
{
"@type": "Question",
"name": "Quand est-ce qu'une vagotomie est recommandée ?",
"position": 17,
"acceptedAnswer": {
"@type": "Answer",
"text": "Une vagotomie est recommandée pour les ulcères gastriques récurrents ou résistants aux traitements."
}
},
{
"@type": "Question",
"name": "Quels médicaments sont prescrits après une vagotomie ?",
"position": 18,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des inhibiteurs de la pompe à protons et des antibiotiques peuvent être prescrits après l'opération."
}
},
{
"@type": "Question",
"name": "Comment gérer la douleur après une vagotomie ?",
"position": 19,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des analgésiques et des soins appropriés au site chirurgical aident à gérer la douleur post-opératoire."
}
},
{
"@type": "Question",
"name": "Y a-t-il des traitements alternatifs aux ulcères ?",
"position": 20,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des traitements alternatifs incluent des changements alimentaires et des remèdes naturels, mais consulté un médecin."
}
},
{
"@type": "Question",
"name": "Quelles sont les complications possibles d'une vagotomie ?",
"position": 21,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les complications incluent des infections, des saignements, et des troubles de la digestion."
}
},
{
"@type": "Question",
"name": "Comment prévenir les complications post-opératoires ?",
"position": 22,
"acceptedAnswer": {
"@type": "Answer",
"text": "Un suivi médical rigoureux et des soins appropriés au site chirurgical aident à prévenir les complications."
}
},
{
"@type": "Question",
"name": "Quels sont les signes d'une infection après une vagotomie ?",
"position": 23,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des rougeurs, un gonflement et de la fièvre peuvent indiquer une infection post-opératoire."
}
},
{
"@type": "Question",
"name": "Comment gérer les complications digestives après une vagotomie ?",
"position": 24,
"acceptedAnswer": {
"@type": "Answer",
"text": "Un suivi diététique et des médicaments peuvent aider à gérer les complications digestives."
}
},
{
"@type": "Question",
"name": "Les complications peuvent-elles être graves ?",
"position": 25,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, certaines complications peuvent être graves et nécessiter une intervention médicale immédiate."
}
},
{
"@type": "Question",
"name": "Quels sont les facteurs de risque d'ulcères gastriques ?",
"position": 26,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les facteurs incluent le tabagisme, l'alcool, le stress et l'utilisation prolongée d'anti-inflammatoires."
}
},
{
"@type": "Question",
"name": "Le stress est-il un facteur de risque pour les ulcères ?",
"position": 27,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, le stress peut augmenter la production d'acide gastrique et contribuer aux ulcères."
}
},
{
"@type": "Question",
"name": "L'hérédité joue-t-elle un rôle dans les ulcères ?",
"position": 28,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, des antécédents familiaux d'ulcères peuvent augmenter le risque de développer cette condition."
}
},
{
"@type": "Question",
"name": "Les infections peuvent-elles causer des ulcères ?",
"position": 29,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, l'infection par Helicobacter pylori est un facteur de risque majeur pour les ulcères gastriques."
}
},
{
"@type": "Question",
"name": "Quels médicaments augmentent le risque d'ulcères ?",
"position": 30,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les anti-inflammatoires non stéroïdiens (AINS) augmentent le risque de développer des ulcères gastriques."
}
}
]
}
]
}
Expert en Médecine, Optimisation des Parcours de Soins et Révision Médicale
Validation scientifique effectuée le 25/04/2026
Contenu vérifié selon les dernières recommandations médicales
3 publications dans cette catégorie
Affiliations :
Department of Surgery, Yonsei University College of Medicine, Seoul, Korea.
Publications dans "Vagotomie gastrique proximale" :
3 publications dans cette catégorie
Affiliations :
Department of Gastric Surgery, National Cancer Center Hospital, 5-1-1 Tsukiji Chuo-ku, 104-0045, Tokyo, Japan.
Publications dans "Vagotomie gastrique proximale" :
3 publications dans cette catégorie
Affiliations :
Department of Gastric Surgery, National Cancer Center Hospital, 5-1-1 Tsukiji Chuo-ku, 104-0045, Tokyo, Japan.
Publications dans "Vagotomie gastrique proximale" :
3 publications dans cette catégorie
Affiliations :
Department of Gastric Surgery, National Cancer Center Hospital, 5-1-1 Tsukiji Chuo-ku, 104-0045, Tokyo, Japan.
Publications dans "Vagotomie gastrique proximale" :
3 publications dans cette catégorie
Affiliations :
Department of Gastric Surgery, National Cancer Center Hospital, 5-1-1 Tsukiji Chuo-ku, 104-0045, Tokyo, Japan.
Publications dans "Vagotomie gastrique proximale" :
2 publications dans cette catégorie
Affiliations :
Department of Surgical Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Publications dans "Vagotomie gastrique proximale" :
2 publications dans cette catégorie
Affiliations :
Department of Surgery, Keio University School of Medicine, Tokyo, Japan.
Publications dans "Vagotomie gastrique proximale" :
2 publications dans cette catégorie
Affiliations :
Department of Surgical Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Publications dans "Vagotomie gastrique proximale" :
2 publications dans cette catégorie
Affiliations :
Department of Surgical Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Publications dans "Vagotomie gastrique proximale" :
2 publications dans cette catégorie
Affiliations :
Department of Gastric Surgery, National Cancer Center Hospital, 5-1-1 Tsukiji Chuo-ku, 104-0045, Tokyo, Japan.
Publications dans "Vagotomie gastrique proximale" :
2 publications dans cette catégorie
Affiliations :
Department of Gastric Surgery, National Cancer Center Hospital, 5-1-1 Tsukiji Chuo-ku, 104-0045, Tokyo, Japan.
Publications dans "Vagotomie gastrique proximale" :
2 publications dans cette catégorie
Affiliations :
Department of Gastric Surgery, National Cancer Center Hospital, 5-1-1 Tsukiji Chuo-ku, 104-0045, Tokyo, Japan.
Publications dans "Vagotomie gastrique proximale" :
2 publications dans cette catégorie
Affiliations :
Department of Surgical Oncology, First Affiliated Hospital of China Medical University, Shenyang, Liaoning, China.
Publications dans "Vagotomie gastrique proximale" :
2 publications dans cette catégorie
Affiliations :
Department of Surgical Oncology, First Affiliated Hospital of China Medical University, Shenyang, Liaoning, China bjhuangcmu@126.com.
Publications dans "Vagotomie gastrique proximale" :
2 publications dans cette catégorie
Affiliations :
Department of Surgery, The Ohio State University Wexner Medical Center and James Comprehensive Cancer Center, Columbus, Ohio, United States; Department of Surgical Oncology, Medical University of Lublin, Poland.
Publications dans "Vagotomie gastrique proximale" :
2 publications dans cette catégorie
Affiliations :
From the Department of Surgery, Yonsei University College of Medicine, Seoul, Republic of Korea.
Gastric Cancer Center, Yonsei Cancer Center, Yonsei University Health System, Seoul, Republic of Korea.
Publications dans "Vagotomie gastrique proximale" :
2 publications dans cette catégorie
Affiliations :
National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
Publications dans "Vagotomie gastrique proximale" :
2 publications dans cette catégorie
Affiliations :
Department of Microbiology and Immunology, Georgetown University Medical Center, Washington, District of Columbia, USA.
Publications dans "Vagotomie gastrique proximale" :
2 publications dans cette catégorie
Affiliations :
National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
Publications dans "Vagotomie gastrique proximale" :
2 publications dans cette catégorie
Affiliations :
National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
Publications dans "Vagotomie gastrique proximale" :
Benign gastric outlet obstruction (BGOO) severely impacts the quality of life of patients. The main treatment methods for BGOO include surgery and endoscopy, but both have significant drawbacks. There...
This is an ongoing prospective, single-centre, single-blind randomised controlled trial. The study will be conducted from January 2022 to December 2025, and 50 patients will be enrolled. The participa...
This study was approved by the Ethics Committee of Beijing Friendship Hospital, Capital Medical University (no. 2021-P2-274-02). The study conformed to the provisions of the Declaration of Helsinki (a...
ChiCTR2100052197....
The interplay between the nervous system and cancer plays an important role in the initiation and progression of gastric cancer. Few studies have presented evidence that the sympathetic nervous system...
From January 01, 2000, to December 31, 2021, the medical records of patients who underwent PGJ or PGJV because of gastric outlet obstruction due to incurable advanced gastric cancer at the Yeungnam Un...
There was no significant difference in surgical outcomes and postoperative complications between the patients with PGJV and patients with PGJ. In univariate analysis, vagotomy was not a significant fa...
When PGJ for LUGC was performed with vagotomy, additional survival benefits could be achieved with low complication risk. However, to confirm the effect of vagotomy on the growth of gastric cancer, fu...
The aim of the present study was to determine the correlation between obesity, serum levels of leptin and proximal gastric cancer....
Sixty-four gastric cancer patients operated on with curative intent were included in the study. We determined the correlation between the preoperative serum levels of leptin and the tumor's location....
Serum leptin levels were correlated significantly with the proximal third location (p=0.04), gastric outlet obstructing tumors (p<0.0001), CRP levels (p=0.03) and BMI (p<0.0001). Patients with high se...
Serum levels of leptin were significantly elevated in patients with proximal gastric cancer, suggesting that the leptin's effect might be due to its systemic secretion. This might explain the higher i...
This study assesses the metastasis rate of the key distal lymph nodes (KDLN) that are not routinely dissected in proximal gastrectomy, aiming to explore the oncological safety of proximal gastrectomy ...
We analyzed a cohort of 150 patients with proximal locally advanced gastric cancer (cT3/4 before chemotherapy) from two high-volume cancer centers in China who received preoperative neoadjuvant chemot...
Key distal lymph node metastasis was detected in 10% (15/150) of patients, with a metastasis rate of 6% (9/150) in No. 5 lymph nodes, 6.7% (10/150) in No. 6 lymph nodes, and 2.7% (2/75) in No. 12a lym...
For cT3/4 proximal locally advanced gastric cancer patients, the risk of KDLN metastasis remains notably high even after NAC. Therefore, proximal gastrectomy is not recommended; instead, total gastrec...
A steady increase in gastroesophageal junction and proximal gastric cancer (GC) incidence has been observed in the West. Given recent advances in neoadjuvant chemotherapy (NAC), we sought to character...
Patients with stage II/III proximal GC who underwent curative-intent treatment between 2009 and 2019 were identified using National Cancer Database. Multivariable analysis was used to identify oncolog...
Among 7616 patients with GC who underwent surgical resection, PG and TG were performed on 5246 (68.8%) and 2370 patients (31.2%), respectively. Patients who underwent PG were more likely to receive NA...
PG may be an alternative surgical approach to TG in well-selected patients with proximal GC after administration of preoperative systemic chemotherapy....
Gastric leiomyomas are benign, submucosal tumors found incidentally on unrelated imaging or during autopsy. The majority of leiomyomas are asymptomatic; however, patients can develop central ulceratio...
The occurrence of gastric neuroendocrine carcinoma (GNEC) is on the rise, and its prognosis is extremely poor. We compared survival outcomes between distal and proximal GNEC and developed a nomogram i...
Sleeve gastrectomy (SG) results in persistent or de novo reflux more often than Roux-en-Y gastric bypass (RYGB). We investigated pressurization patterns in the proximal stomach on high-resolution mano...
Patients undergoing HRM and ambulatory pH-impedance monitoring after SG and RYGB over a 2-year period (2019-2020) were included. For each included patient, 2 symptomatic control patients with HRM and ...
Patient cohorts included 36 SG patients, 23 RYGB patients, 113 symptomatic controls, and 15 asymptomatic controls. While both SG and RYGB patients pressurized the stomach during swallows and straight ...
Impaired EGJ barrier function and proximal gastric pressurization after SG are associated with gastroesophageal reflux, especially during strain maneuvers....
Proximal gastrectomy (PG) is one of function-preserving gastrectomy (FPG). In this study, we compared the long-term results of proximal gastric cancer (PGC) patients undergoing proximal gastrectomy an...
Patients diagnosed with PGC and receiving PG or TG between 2004 and 2020 were selected from the Surveillance, Epidemiology, and End Results (SEER) database. Propensity score matching (PSM) was applied...
A total of 3916 patients were recruited according to the inclusion and exclusion criteria, with 2614 undergoing PG and 1302 undergoing TG. After 1:1 PSM matching, 912 pairs of data were included for a...
PG for PGC yields comparable long-term outcomes to TG and demonstrates safety in terms of oncologic outcomes....
Surgical resection is the main treatment for proximal gastric cancer, but there is no consensus on its reconstruction. We carried out a meta-analysis to evaluate the effects of double-tract reconstruc...