Clinical Experience with Isoperistaltic Interposition of a Jejunal Segment for the Incapacitating Dumping Syndrome

Fenger, H. J.; Gudmand-Høyer, E; Kallehauge, H. E.; Andreassen, Mikkel

doi:10.1097/00000658-197202000-00020

Cited by 14 publications

(3 citation statements)

References 6 publications

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“…Excessive food retention is considered to be harmful in terms of long-term QOL; we, therefore, considered a BJI procedure in which no pouch was formed. Although several reports have indicated that jejunal interposition is associated with a lower incidence of dumping syndrome [19][20][21][22], our study revealed no significant difference in the incidence of dumping syndrome between the BJI group (6 %) and BI group (12 %). Morii et al reported that gastric emptying time, assessed with the use of liquid barium, was significantly slower after jejunal interposition compared with the BI procedure [23].…”

Section: Discussioncontrasting

confidence: 89%

“…Jejunal interposition was first reported by Henley in 1952 as a method of reconstruction after distal gastrectomy [18]. Jejunal interposition was reported to be effective in preventing reflux esophagitis and remnant gastritis [19,20], as well as in preventing the dumping syndrome [21][22][23]. Since the advent of pouch surgery, jejunal pouch interposition has been used after distal gastrectomy [12,24].…”

Section: Discussionmentioning

confidence: 99%

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Long‐Term Comparison of Boomerang‐Shaped Jejunal Interposition and Billroth‐I Reconstruction After Distal Gastrectomy

et al. 2015

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Section: Discussioncontrasting

confidence: 89%

Section: Discussionmentioning

confidence: 99%

Long‐Term Comparison of Boomerang‐Shaped Jejunal Interposition and Billroth‐I Reconstruction After Distal Gastrectomy

et al. 2015

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“…Corrective operative procedures have been tried. They included interposition of isoperistaltic or antiperistaltic jejunal loops, but evidence for their value is confficting (Fenger et al, 1972;Miranda et al, 1980). In this study we investigated four patients with severe symptoms from the dumping syndrome who were treated surgically with interposition of a long antiperistaltic jejunal loop.…”

Section: Introductionmentioning

confidence: 99%

Gastric emptying after surgery for the dumping syndrome

Harries

Dew

Crawley

et al. 1984

Postgraduate Medical Journal

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Summary The dumping syndrome following gastric surgery for peptic ulcer disease can cause severe morbidity. In this study the benefit of interposition of an antiperistaltic jejunal loop to reverse peristalsis and delay gastric emptying was assessed in four patients with severe symptoms by performing gastric emptying studies pre-operatively, and at 6 months and 24 months following surgery. Gastric emptying was delayed at 6 months but by 2 years had returned to pre-operative values. Patients' symptoms were improved at 6 months and remained so despite the deterioration in gastric emptying. This surgical procedure is of some value to patients with severe symptoms due to the dumping syndrome.

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Surgical management of severe intractable postvagotomy diarrhoea

Cuschieri

1986

Journal of British Surgery

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Experience with the surgical management of 23 patients with postvagotomy diarrhoea is outlined. The most common pre-operative abnormalities are rapid gastric emptying (14/23) and fast small bowel transit (23/23). Three patients were found to have steatorrhoea due to organic disease. Peptic ulcer surgery performed at a young age (means = 29 years, range 21-37) appears to be the only identifiable risk factor. The results of medical treatment with bile salt binding agents were disappointing in the long term. In 10 out of 13 patients treated with antiperistaltic segments, the procedure had to be reversed because of episodes of severe postprandial colic, intestinal obstruction and bacterial overgrowth. A good result with relief of the explosive diarrhoea was obtained by the distal onlay reversed ileal graft in six out of seven patients. This procedure creates a passive non-propulsive segment, and has no undesirable sequelae. It should be considered in those patients in whom the diarrhoea is not controlled by conservative measures.

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Clinical Experience with Isoperistaltic Interposition of a Jejunal Segment for the Incapacitating Dumping Syndrome

Cited by 14 publications

References 6 publications

Long‐Term Comparison of Boomerang‐Shaped Jejunal Interposition and Billroth‐I Reconstruction After Distal Gastrectomy

Long‐Term Comparison of Boomerang‐Shaped Jejunal Interposition and Billroth‐I Reconstruction After Distal Gastrectomy

Gastric emptying after surgery for the dumping syndrome

Surgical management of severe intractable postvagotomy diarrhoea

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