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소화성궤양 환자에 있어서 Latarjet Nerve 영역의 전정부와 체부의 조직학적인 경계
김홍진(Hong Jin Kim),구자일(Ja Ill Koo),심민철(Min Chul Shim),권굉보(Koing Bo Kwun),이수정(Soo Jung Lee),서보양(Bo Yang Suh),최원희(Won Hee Choi),이태숙(Tae Sook Lee) 대한소화기학회 1990 대한소화기학회지 Vol.22 No.1
In highly selective vagotomy, one of the main problem is to find out antrum-corpus boundary and which branch of Crows foot must be sectioned in order to obtain a complete vagotomy to reduce incidence of the recurrence. This report was done to investigate the interrelationship between Crow s foot branches of Latarjet nerve and histologic antrum-corpus boundary determined by intraoper- ative biopsies. Studies were done on 22 patients of peptic ulcer who underwent vagotomy and antrectomy at YUH between September, 1987 and June, 1989. The results were as follows 1) The proximal, middle and distal branches were found to be located at a mean distance of 7.6cm (7~9), 6.6cm (6~8cm) and 5.6cm (5~6.cm) from the pylorus respectively. 2) At the level of proximal branch, oxintic mucosa was found in 45.5% and tranzitional mucosa was found in 50%. At the level of middle Branch, oxintic mucosa was found in 22.3% and transitional mucosa was identified in 68.2% to 72.7%, but antral mucosa was not seen. At the level of distal branch, oxintic mucosa was not seen, transitional mucosa was seen in 54.5% and antral mucosa was found in 45.5%. 3) There was no correlation between the distance from the pylorus to each of the terminal branches and the type of mucosa found on the lesser curvature at the level of the nervous branches is given.