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Abstract
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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References
- Postvagotomy changes in the small intestine.Amer. J. Surg. 1967; 114: 382
- Conversione de Billroth II in Billroth I mediante trapianto dell diguinale afferente al duodeno in un case di dumping syndromeprecoce grave.Chir. Ital. 1960; 12: 69
Dragstedt, L. R.: Personal communication.
- Gastrectomy with transposition of the jejunum.Acta Chir. Scand. 1960; 119: 180
- Utilization of small bowel segments as a gastric reservoir for control of the dumping syndrome.Amer. J. Surg. 1966; 111: 89
- Jejunal interposition for certain postgastrectomy syndromes.S. Clin. N. Amer. 1966; 46: 441
- Die Behandlung des schweren dumping syndromes durch Umwandlungsoperation.Med. Klin. 1963; 58: 625
Madding, G. F.: Personal communication.
- Clinical use of anti-peristaltic bowel segments.Ann. Surg. 1965; 161: 601
- Dumping stomach, following gastrojejunostomy.S. Clin. N. Amer. 1922; 2: 617
- Complications of vagotomy.Amer. J. Surg. 1963; 106: 206
- Antiperistaltic segments of jejunum in the treatment of the dumping syndrome.Arch. Surg. 1969; 98: 396
Article info
Publication history
Accepted:
June 12,
1970
Identification
Copyright
© 1971 Published by Elsevier Inc.
