Learn about Highly Selective Vagotomy Treatment in India — how it works, who it is for, recovery timelines, and what to expect before and after surgery. Compare hospitals and doctors experienced in Highly Selective Vagotomy and request assistance for cost estimates or appointments.

About Highly Selective Vagotomy

A Highly Selective Vagotomy (HSV), also known as a parietal cell vagotomy or proximal gastric vagotomy, is a specialized surgical procedure performed by a gastroenterologist or gastrointestinal surgeon to treat severe, medication-resistant peptic ulcers. This minimally invasive technique precisely severs only the branches of the vagus nerve that stimulate acid secretion in the stomach's fundus and body, while carefully preserving the nerve branches responsible for stomach emptying (the nerve of Latarjet) and other vital functions. By reducing gastric acid production by up to 80-90%, it promotes ulcer healing and prevents recurrence. Unlike older vagotomy procedures, HSV avoids the need for a complementary drainage surgery, significantly lowering the risk of post-operative complications like dumping syndrome and diarrhea, making it a targeted and organ-preserving option for chronic ulcer management.

Key Highlights

    Targeted reduction of stomach acid production (up to 80-90%) to heal ulcers.Preserves stomach emptying function, avoiding the need for a drainage procedure.Minimally invasive approach (often laparoscopic) for smaller incisions and less scarring.Significantly lower risk of post-vagotomy syndromes like dumping and diarrhea compared to truncal vagotomy.Effective long-term solution for ulcers unresponsive to medication (e.g., PPIs) and H. pylori eradication.

Who is this surgery for?

  • Chronic duodenal ulcers that are recurrent or intractable to maximum medical therapy (proton pump inhibitors).
  • Peptic ulcers with complications like bleeding or perforation that are not amenable to endoscopic control.
  • Patients with Zollinger-Ellison syndrome (gastrinoma) where acid control is critical.
  • Cases where long-term, high-dose anti-ulcer medication is undesirable or causes side effects.
  • As a definitive surgical option when endoscopic and pharmacological management has failed.

How to prepare

  • Comprehensive pre-operative evaluation including endoscopy, imaging, and tests to confirm ulcer location and rule out malignancy.
  • Complete cessation of NSAIDs, blood thinners (like aspirin, warfarin), and certain supplements as advised by the doctor.
  • Pre-operative fasting for 8-12 hours to ensure an empty stomach.
  • Administration of prophylactic antibiotics to prevent surgical site infection.
  • Discussion of anesthesia options and obtaining informed consent for the procedure.

Risks & possible complications

  • Standard surgical risks: infection, bleeding, adverse reaction to anesthesia.
  • Incomplete vagotomy leading to ulcer recurrence.
  • Inadvertent injury to nearby structures like the esophagus, spleen, or liver.
  • Gas bloat syndrome or mild delayed gastric emptying in some patients.
  • Very low risk of post-vagotomy diarrhea or dumping syndrome compared to other vagotomy types.

Recovery & hospital stay

  • Hospital stay typically lasts 2-4 days for monitoring and initial pain management.
  • Diet begins with clear liquids, advancing to soft foods as tolerated over several days.
  • Pain at incision sites is managed with prescribed medications.
  • Patients are advised to avoid heavy lifting and strenuous activity for 4-6 weeks.
  • Follow-up appointments are scheduled to monitor healing, assess acid levels, and ensure ulcer resolution.
  • checked Typical hospital stay: 2-4 days
  • checked Expected recovery time: 4-6 weeks

Frequently Asked Questions

If you are considering highly selective vagotomy in India, these questions and answers can help you make a confident, informed decision.

Procedure cost in other countries

Here is an overview of how the estimated cost, hospital stay, and recovery time for highly selective vagotomy compare across other countries where we have data.

Country Estimated cost range Typical stay Recovery time View details
India USD 1,632 – USD 3,807 2-4 days ~ 4-6 weeks Know More
Turkey USD 12,079 – USD 28,184 2-4 days ~ 4-6 weeks Know More

Top hospitals for Highly Selective Vagotomy in India

These partner hospitals in India have dedicated gastroenterology teams and experience managing patients undergoing highly selective vagotomy.

Manipal Hospital Rangapani

  • IconSiliguri, India
  • Icon13 Doctors

Manipal Hospital Goa

  • IconPanaji, India
  • Icon79 Doctors

Manipal Hospital Whitefield

  • IconBangalore, India
  • Icon105 Doctors

Manipal Hospital Siliguri

  • IconSiliguri, India
  • Icon30 Doctors

Kamineni Hospital, Tadigadapa

  • Iconvijayawada, India
  • Icon44 Doctors

Manipal Hospital Patiala

  • IconPatiala, India
  • Icon52 Doctors

Manipal Hospital Salt Lake

  • IconKolkata, India
  • Icon129 Doctors

Gem Hospital Perungudi

  • IconChennai, India
  • Icon41 Doctors

Gem Hospital Aminjikarai

  • IconChennai, India
  • Icon200 Doctors

KMC Hospital Mangalore

  • IconMangalore, India
  • Icon38 Doctors

Manipal Hospital Jayanagar

  • IconBangalore, India
  • Icon57 Doctors

Manipal Hospital Hebbal

  • IconBangalore, India
  • Icon150 Doctors

Manipal Hospital Ranchi

  • IconRanchi, India
  • Icon41 Doctors

Manipal Hospital Jaipur

  • IconJaipur, India
  • Icon55 Doctors

Manipal Hospital EM Bypass

  • IconKolkata, India
  • Icon94 Doctors

SIMS Hospital Vadapalani

  • IconChennai, India
  • Icon71 Doctors

Manipal Hospital Malleshwaram

  • IconBangalore, India
  • Icon105 Doctors

Medanta The Medicity

  • IconGurgaon, India
  • Icon900 Doctors
PATIENT REVIEW

I'd been to three other doctors...

I'd been to three other doctors for this nagging pain and fatigue. Everyone said it was stress. Dr. Latha at MGM was the first one who actually sat and listened, really listened, to everything I was saying. She ordered a specific test the others hadn't, and it turned out to be something quite rare. She explained it all to me in plain Tamil, drew diagrams on a notepad. I was scared, but she laid out a clear plan. It's been a long road, but I finally feel like we're getting somewhere.

Gastroenterologists for Highly Selective Vagotomy

Explore experienced gastroenterologists who regularly perform highly selective vagotomy and provide pre- and post-operative care in India.

Dr. Avnish Seth
  • 31 Years Experience
  • Gastroenterologist
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Dwarka

OPD-desk synced • Updated
Dr. Kingshuk Dhar
  • 20 Years Experience
  • Gastroenterologist
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospitals Broadway

OPD-desk synced • Updated
Dr. Bharath T
  • 21 Years Experience
  • Gastroenterologist
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Doddaballapur

OPD-desk synced • Updated
Dr. Kunal Kumar Gupta
  • 12 Years Experience
  • Gastroenterologist
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Mukundapur

OPD-desk synced • Updated
Dr. Kandarp Nath Saxena
  • 15 Years Experience
  • Gastroenterologist
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Jaipur

OPD-desk synced • Updated
Dr. Abhishek Banerjee
  • 13 Years Experience
  • Gastroenterologist
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospitals Broadway

OPD-desk synced • Updated
Dr. Janardhana T
  • 12 Years Experience
  • Gastroenterologist
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Kanakapura Road

OPD-desk synced • Updated
Dr. Ashokananda Konar
  • 41 Years Experience
  • Gastroenterologist
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospitals Broadway

OPD-desk synced • Updated
Dr. Pradeepta Kumar Sethy
  • 24 Years Experience
  • Gastroenterologist
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital EM Bypass

OPD-desk synced • Updated