Surgical treatment of late postgastrectomy syndromes

American Journal of Surgery
H A Reber, L W Way

Abstract

An analysis of the experience at the University of California Hospital, San Francisco, with the diagnosis and treatment of fifty-nine postgastrectomy syndromes shows that stomal obstruction (sixteen patients), the most common syndrome, was best treated by total reconstruction rather than stomal revision. Disappointment with the results of other procedures for the dumping syndrome (50 per cent improvement) has convinced us of the need to adopt the use of reversed jejunal interposition for surgical treatment of this condition. Because a precise etiologic diagnosis of bilious vomiting is often elusive, the preferred procedure is isoperistaltic jejunal interposition, since it eliminates the afferent loop and prevents bile from entering the stomach. All five patients with malabsorption were improved by conversion from BII to BI. Four of five patients with diarrhea were improved by various procedures (not including a reversed segment of intestine in the midjejunum). Three patients with reflux alkaline gastritis were improved by Roux-en-Y gastrojejunostomy or isoperistaltic jejunal interposition. Either is effective. Thus, in our experience if an unquestionable diagnosis of stomal obstruction, malabsorption, or reflux alkaline gastrit...Continue Reading

References

Jun 1, 1973·Annals of Surgery·W L JosephW S McCune
May 1, 1972·Annals of Surgery·J L Herrington, J L Sawyers
Apr 1, 1971·Archives of Surgery·G L Jordan
Sep 1, 1969·American Journal of Surgery·J A van HeerdenS F Phillips

❮ Previous
Next ❯

Citations

Jan 12, 2001·Journal of Clinical Gastroenterology·J C Rabine, J L Barnett
May 1, 1982·The British Journal of Surgery·N I RamusD Jonhston
Oct 15, 2011·Australasian Psychiatry : Bulletin of Royal Australian and New Zealand College of Psychiatrists·Robert Goldney, Johan Schioldann
Jan 1, 1983·Langenbecks Archiv für Chirurgie·V SchumpelickH W Schreiber

❮ Previous
Next ❯

Related Concepts

Related Feeds

Atrophic Gastritis

Atrophic Gastritis is a process where gastric glandular cells are lost and replaced with firbous tissues, as a result of chronic inflammation. Learn more about Atrophic Gastritis here.

© 2022 Meta ULC. All rights reserved