Remedial operations for postgastrectomy syndromes

Herrington, J. Lynwood

doi:10.1016/s0011-3840(70)80012-0

Cited by 10 publications

(2 citation statements)

References 127 publications

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“…This has been shown at reoperation in patients who have had reversed intestinal segments for other reasons. 16 The reversed ileal segment creates the effect of a reser¬ voir by producing intestinal stasis proximal to the seg¬ ment. This is similar in principle to Kock's "ileostomy res¬ ervoir."…”

Section: Resultsmentioning

confidence: 99%

Antiperistaltic Ileal Segment in the Prevention of Ileostomy Diarrhea

Cohen¹

1975

Arch Surg

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Section: Resultsmentioning

confidence: 99%

Antiperistaltic Ileal Segment in the Prevention of Ileostomy Diarrhea

Cohen¹

1975

Arch Surg

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“…Isoperistaltic jejunal interposition has been advocated as the operation of choice (Jordan, 1971;Williams, 1972), but its technical difficulty makes it hazardous in inexperienced hands (Capper and Welbourn, 1955;Torrance and Watson, 1969). Vagotomy is essential to avoid ulceration in the interposed jejunal segment (Herrington, 1970).…”

Section: Discussionmentioning

confidence: 99%

The results of reoperation for bile vomiting following surgery for peptic ulcer

Griffiths

Smith

Small

et al. 1974

Journal of British Surgery

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A retrospective study is presented of 91 patients (72 male and 19 female) who underwent remedial surgery in the Gastro–intestinal Unit, Western General Hospital, between 1958 and 1972 for bile vomiting following surgery for peptic ulcer. The mean follow–up period was 5.2 years. Fifty‐eight (63.8 per cent) patients had undergone a previous gastric resection, 26 (28.5 per cent)a vagotomy and drainage operation and 7 (77 per cent)a gastrojejunostomy alone. At reoperation no abnormality could be found to account for the vomiting in 29 (30.9 per cent)patients, 52 (57.1 per cent) had an obstructed afferent loop, efferent loop or stoma and 6 (6.6 per cent) had acute gastritis only. Twelve (13.2 per cent)patients had a recurrent ulcer. Preoperative barium meal examination and gastroscopy together correcrly indicated the operative findings in 846 per cent of cases. For bile vomiting following Polya gastrectomy 64–68 per cent of those who had a Roux‐en‐ Y conversion or an isoperistaltic jejunal interposition obtained lasting relief of symptoms, as against 55 per cent of patients who had their Polya anastomosis converted to a Billroth Z type. Where the original operation had been a vagotomy and drainage procedure 71 per cent of those converted to a Polya gastrectomy did well, but conversion to a different type of drainage or refashioning of the existing anastomosis was successful in only 40 per cent. The results in 28 patients with a concomitant psychoneurosis were not significantly different from those in the rest of the group.

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Reversed Ileal Segment for Treatment of Ileostomy Dysfunction

Matolo¹

1976

Arch Surg

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Remedial operations for postgastrectomy syndromes

Cited by 10 publications

References 127 publications

Antiperistaltic Ileal Segment in the Prevention of Ileostomy Diarrhea

Antiperistaltic Ileal Segment in the Prevention of Ileostomy Diarrhea

The results of reoperation for bile vomiting following surgery for peptic ulcer

Reversed Ileal Segment for Treatment of Ileostomy Dysfunction

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