Document Detail


The use of jejunal interposition for intractable symptoms complicating peptic ulcer surgery.
MedLine Citation:
PMID:  7074337     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Ten patients severely disabled by post-gastrectomy syndromes were allocated to two treatment groups. Those with predominant dumping received a 10-cm antiperistaltic jejunal interposition; those with predominant bile vomiting received a 20-cm isoperistaltic interposition. After follow-up for a minimum of 3 years, 6 patients remained virtually asymptomatic (Visick grades 1 and 2). There were 2 deaths from myocardial infarction, 6 months and 2 years after remedial surgery. One patient developed a stomal ulcer after successful treatment of dumping. Jejunal interposition appears to be a safe and relatively successful procedure. A short antiperistaltic loop is recommended for early dumping; for bile vomiting a longer isoperistaltic segment is a satisfactory alternative to Roux-en-Y conversion.
Authors:
N I Ramus; R C Williamson; D Jonhston
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The British journal of surgery     Volume:  69     ISSN:  0007-1323     ISO Abbreviation:  Br J Surg     Publication Date:  1982 May 
Date Detail:
Created Date:  1982-07-22     Completed Date:  1982-07-22     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0372553     Medline TA:  Br J Surg     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  265-8     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Adult
Dumping Syndrome / surgery
Female
Humans
Jejunum / physiopathology,  surgery*
Male
Methods
Middle Aged
Peristalsis
Postgastrectomy Syndromes / physiopathology,  surgery*
Prospective Studies

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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