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十二指腸潰瘍 40例에 있어서 選擇的 胃迷走神經 切斷術에 對한 外科的 考察

Selective Gastric Vagotomy

군진의학 1964년 3권 1호 p.6 ~ 10
리상료 (  ) - 浦項 海軍病院 外科

申業灌 (  ) - 國立醫療院 一般外科
鄭世愚 (  ) - 國立醫療院 一般外科

Abstract


There are still different opinions as to the best operation for the treatment of chronic duodenal ulcer. It has recently been reported that a minority of patients after a subtotal gastrectomy suffer from side effects either in the form of nutritional deficiencies or various postcibal syndromes.
A selective gastric vagotomy combined with drainage procedure is the most promising operation because of the total denervation of the stomach and at the same time, preservation of the hepatic and celiac branches of the n. vagus. Selective gastric vagotomy without drainage procedure was introduced in 1947 by Jackson, and Moore and Franksson reported series in 1948. In 1938 Harkins for the first time performed selective gastric vagotomy combined with a drainage procedure, and in 1963 he reported followup studies of 52 patients.
Since October 1963 up-to this period we have performed 40 selective gastric vagotomies combined with partial gastric resection and je junal transposition for duodenal ulcer.
These operations are the first of their kind to be performed in Korea.

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