The successful application of jejunal interposition for severe dumping syndrome: report of a case.

Abstract:

:We report herein the case of a 76-year-old man with intractable dumping syndrome which had manifested itself 3 years after he underwent a gastric resection and Billroth I reconstruction for a gastric ulcer. Despite aggressive medical therapy by the time of admission, he had suffered from disabling dumping symptoms for 9 years. In an attempt to relieve these symptoms, a 15-cm segment of the jejunum was placed isoperistaltically between the lesser curvature of the remnant stomach and the duodenum, and a selective vagotomy was performed. The dumping symptoms that he had experienced preoperatively completely disappeared after the revisory surgery. Postoperatively, an upper gastrointestinal series demonstrated a larger gastric pouch and slower gastric passage into the small intestine than what was seen preoperatively, while gastric emptying studies using the acetaminophen method also showed normal patterns in both the early and late postoperative phases. Thus, we consider that this surgical procedure is a simple and effective way to inhibit rapid gastric emptying and to slow intestinal transit in the treatment of dumping syndrome.

journal_name

Surg Today

journal_title

Surgery today

authors

Ishikawa M,Morioka E,Wada D,Komi N

doi

10.1007/BF01651008

subject

Has Abstract

pub_date

1994-01-01 00:00:00

pages

911-4

issue

10

eissn

0941-1291

issn

1436-2813

journal_volume

24

pub_type

杂志文章
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    pub_type: 杂志文章

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    pub_type: 临床试验,杂志文章

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    pub_type: 已发布勘误

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