Original communication| Volume 69, ISSUE 2, P263-267, February 1971

Antiperistaltic jejunal segments for control of the dumping syndrome and postvagotomy diarrhea

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      Antiperistaltic 10 cm. jejunal segments interposed between the gastric pouch and duodenum have been successfully utilized in 16 patients with intractable dumping symptoms. Nine additional patients have been relieved of disabling postvagotomy diarrhea by reversing a 10 cm. jejunal segment 100 cm. distal to the ligament of Treitz. Careful patient selection after a long trial of conservative treatment is essential before advising this type of remedial operation; but in properly selected cases, the use of antiperistaltic jejunal segments for control of dumping and/or postvagotomy diarrhea has much to offer these severely incapacitated patients.
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