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Complications

Authoring team

The major side effects of vagotomy are:

  • diarrhoea:
    • may be severe enough to limit normal functioning
    • classically, the patient episodically passes one or two loose stools with an intervening diarrhoea-free period of 3-4 weeks

  • dumping syndromes

  • gallstones

In the long-term, hypochlorhydria may predispose to gastric cancer but this has not been substantiated.

Reference:

  • Lundegardh, G., Ekbom, A., et al.. Gastric cancer risk after vagotomy. Gut 1994; 35: 946-949.

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