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KMID : 0353819640030010006
Medical Journal of the ROK Army
1964 Volume.3 No. 1 p.6 ~ p.10
Selective Gastric Vagotomy



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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