Scientific paper| Volume 106, ISSUE 1, P49-56, July 1963

Vagotomy as a surgical procedure for relief of pain

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      • 1.
        1. Vagotomy was performed in seventy-four patients with intractable pain, mainly abdominal, for the purpose of relief of pain.
      • 2.
        2. The method of performance is more or less similar to the vagotomy performed because of peptic ulcer.
      • 3.
        3. The Excellent result is expected most from the following case:
        • 3.1.
          A. The pain of a persistent and vague nature.
        • 3.2.
          B. The pain due to malignant disease.
        • 3.3.
          4. Relief is effective also in the pain outside the innervating of vagus nerve; namely, in somatic pain.
        • 3.4.
          5. Mechanism for relief of pain was studied on the basis of our experiences and examinations. While the exact mechanism for this purpose has not been determined, it is assumed that it has little to do with the interruption of efferent and/or afferent impulse of the nerve, as with the deviation of autonomie nerve.
        • 3.5.
          6. This operation deserves due consideration in preference to other procedures, in relieving such pain as that of cancer and abdominal viscera, in view of its excellent effectiveness, easy performance and absence of side effects.
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        • Dragstedt L.R.
        • Owens Jr., F.M.
        Supradiaphragmatic section of vagus nerves in treatment of duodenal ulcer.
        in: Proc. Soc. Exper. Biol. & Med.53. 1943: 152
        • Dragstedt L.R.
        • Woodward E.R.
        • Harper P.V.
        • Storer E.H.
        Mechanism of the relief of ulcer distress by gastric vagotomy.
        Gastroenterology. 1948; 10: 200
        • Beal J.M.
        • Dineen P.
        A study of vagotomy.
        Arch. Surg. 1950; 60: 203
        • Bradley W.F.
        • Small J.T.
        • Wilson J.W.
        • Walters W.
        Anatomic consideration of gastric neurectomy.
        J. A. M. A. 1947; 133: 459
        • Jackson R.G.
        • Ardor A.
        Anatomic study of the vagus nerves, with a technic of transabdominal selective gastric vagus section.
        Arch. Surg. 1948; 57: 333
        • Burge H.
        • Clark P.A.
        Method of testing for complete nerve section during vagotomy.
        Gastroenterology. 1960; 39: 572
        • Stempien S.J.
        • Dagradi A.E.
        • Seifer H.W.
        Status of duodenal ulcer patients five years or more after vagotomy-pyloroplasty.
        in: Proceedings of the World Congress of Gastroenterology, 1958. Vol. 2. Williams & Wilkins Co, Baltimore1959
        • Jordan M.S.
        Report of the chairman of the Subcommittee on Surgical Procedures in Peptic Ulcer.
        Am. Gastroenterol. Assoc. 1951; 19: 599
        • Burstein C.L.
        • Piazza T.L.
        • Klapp L.A.
        • Rovenstine E.A.
        Cardiocirculatory disturbances during diaphragmatic surgery.
        Surgery. 1949; 25: 36
        • Gullickson M.J.
        • McRae J.H.
        • Campbell D.A.
        Vagal reflexes, electrocardiographic changes during vagotomy.
        Surg. Gynec. & Obst. 1949; 89: 153
        • Exner A.
        Ein Neues Operationsverfahren bei Tabischen Krises Gastriques.
        Deutsch. Zeschr. Chir. 1911; 111: 576
        • Exner A.
        • Schwartzman E.
        Tabischen Krisen, Ulcus Ventriculi und Vagus.
        Wien. klin. Wschnchr. 1912; 25: 1405
        • Kostlivy S.
        Vagotomy in gastric hypertonia.
        J. A. M. A. 1925; 84 (Abstract.): 1389
        • Kugel A.I.
        • Janzen Z.
        Vagus nerve section for relief of intractable abdominal pain in a case of gastric carcinoma.
        Gastroenterology. 1949; 12: 993
        • Grimson K.S.
        • Rundles R.W.
        • Baylin G.J.
        • Taylor H.M.
        • Linberg E.J.
        Vagotomy, observation during four years.
        Surgery. 1950; 27: 49
        • Mandl F.
        Klinische Beobachtungen bei der Vagusresektion.
        Bruns Beitr. klin. Chir. 1947; 186: 300
        • Richman A.
        • Colp R.
        Chronic relapsing pancreatitis: treatment by subtotal gastrectomy and vagotomy.
        Ann. Surg. 1950; 131: 145
        • Rienhof W.F.
        • Baker B.M.
        Pancreolithiasis and chronic pancreatitis, preliminary report of a case of apparently successful treatment by transthoracic sympathectomy and vagotomy.
        J. A. M. A. 1947; 134: 20
        • Crile Jr., G.
        • Miller D.W.
        Vagotomy in the treatment of biliary dyskinesia.
        Arch. Surg. 1951; 63: 687
        • Kimura C.
        Effect of surgical procedure of autonomic nerves.
        Japanese J. Clin. Med. 1951; 9 (“Nihon-Rynsho” in Japanese): 637
        • Morton D.R.
        • Klassen K.P.
        • Curtis G.M.
        The clinical physiology of the human bronchi. II: the effect of vagus section upon pain of tracheobronchial origin.
        Surgery. 1951; 30: 800