Guest guest Posted July 5, 2001 Report Share Posted July 5, 2001 When the MGB is done, is the vagal (vagus) nerve cut? I recall Dr. R. talking about it at clinic but I can't remember if he said he does cut the nerve. Anyone remember? Molly Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 5, 2001 Report Share Posted July 5, 2001 Definitely not cut. The vagus nerve controls the diaphragm, and if cut, your breathing would need assistance, like a Ventilator. It supplies electrical stimulation to most of the abdominal organs and the lungs also. Definitely don't want to cut that baby! PhillyJude, being a nurse! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 5, 2001 Report Share Posted July 5, 2001 I believe he said that he divides it. I remember that he does do something to it. Kathie Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 6, 2001 Report Share Posted July 6, 2001 I don't specifically remember, but I would think that it would have to be cut. Bill I. Vagal Nerve > > When the MGB is done, is the vagal (vagus) nerve cut? I recall Dr. > R. talking about it at clinic but I can't remember if he said he does > cut the nerve. > > Anyone remember? > > Molly > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 6, 2001 Report Share Posted July 6, 2001 If cut, the vagal nerve would be cut below the diaphraghm and lungs and therefore have no effect on them. An analogy would be if you cut the ulnar nerve [funny bone] near the wrist, it would effect the fingers and possible the wrist but it would not have an effect on the elbow, etc. If cut, it would be at the location of the distal MGB pouch where the initial cut was made to create the pouch. The nerve follows the GI tract below the diaphragm, I believe. If our GI tract has been totally interupted, and it has, then I would think that the nerve would be interupted as well. Bill I. Re: Vagal Nerve > > Definitely not cut. The vagus nerve controls the diaphragm, and if cut, your > breathing would need assistance, like a Ventilator. It supplies electrical > stimulation to most of the abdominal organs and the lungs also. Definitely > don't want to cut that baby! > PhillyJude, being a nurse! > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 6, 2001 Report Share Posted July 6, 2001 Wow, Bill, you are just a wealth of information. You sound more like an MD than a dentist. The reason I wondered about the vagal nerve is because I read this on the pre-op mail list and wondered if it would ever apply to MGB people. Someone asked what the risks of WLS are and got this answer: " Surgical risks include leaking from the staple lines requiring re- operation, death from wound infection or anesthesia complications, disrupted intestinal motility if the vagus nerve is cut (RNY stasis-- treatable, but a real lifelong pain to live with), and blockage of the anastamosis (the hole where the pouch joins the bypass) requiring endoscopic dilatation (not pleasant). " Can this stasis affect us? Would this in any way be related to problems with bile reflux? I've read so many posts about bile problems in the last couple of months that I am somewhat concerned about it. Thanks for your help. Molly 3/15/01 > If cut, the vagal nerve would be cut below the diaphraghm and lungs and > therefore have no effect on them. An analogy would be if you cut the ulnar > nerve [funny bone] near the wrist, it would effect the fingers and possible > the wrist but it would not have an effect on the elbow, etc. If cut, it > would be at the location of the distal MGB pouch where the initial cut was > made to create the pouch. The nerve follows the GI tract below the > diaphragm, I believe. If our GI tract has been totally interupted, and it > has, then I would think that the nerve would be interupted as well. > > Bill I. > Re: Vagal Nerve > > > > > > Definitely not cut. The vagus nerve controls the diaphragm, and if cut, > your > > breathing would need assistance, like a Ventilator. It supplies > electrical > > stimulation to most of the abdominal organs and the lungs also. > Definitely > > don't want to cut that baby! > > PhillyJude, being a nurse! > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 6, 2001 Report Share Posted July 6, 2001 That's a good point, Dr. Bill. I was cutting it way higher, wasn't I? Oops. PJ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 6, 2001 Report Share Posted July 6, 2001 I am unaware of how the stasis could effect us, particularly with regard to bile reflux. You may be onto something. Bill I. Re: Vagal Nerve > > > > > > > > > > Definitely not cut. The vagus nerve controls the diaphragm, and > if cut, > > your > > > breathing would need assistance, like a Ventilator. It supplies > > electrical > > > stimulation to most of the abdominal organs and the lungs also. > > Definitely > > > don't want to cut that baby! > > > PhillyJude, being a nurse! > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
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