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2025, Number 2

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Cir Gen 2025; 47 (2)

Evolution of the knowledge and description of the Latarjet nerve in anatomy and surgery

González BL, Rodríguez PCA

Language: Spanish
References: 49
Page: 113-118
PDF size: 436.15 Kb.


ABSTRACT

The vagus nerve was the first nerve described in medicine by Marinus of Alexandria in 100 a.D., but it was not until Galen that his description of its topography, branches and the beginnings of the phonic function of the nerve was given. But André Latarjet was the first to use its gastric branches for a surgical therapeutic treatment for duodenal and pyloric ulcers. Thanks to his topographic description, the anterior trunk of the vagus nerve is called "Latarjet's nerve", with gastric, pyloric and duodenal projections. Later, Dragstedt modified the technique, performing the first truncal vagotomy, but with a pyloroplasty, due to the gastric paresis that occurs when sectioning the terminal branches of the anterior nerve of Latarjet, "crow foot", Johnston and Wilkinson performed the first supraselective vagotomy (parietal cell vagotomy), maintaining the motor function of the crow foot, but decreasing gastric acid secretion, reducing ulcer recurrences. Nowadays, they are no longer the first therapeutic choice in peptic, duodenal or gastric ulcers, due to pharmacological use. In turn, the vagus nerve remains important in the treatment of psychiatric diseases (depression, Parkinson's, Alzheimer's, epilepsy).


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