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Surgical Management of Postgastrectomy Problems
George L. Jordan, Jr., MD
AMA Arch Surg. 1971;102(4):251-259.
Abstract
Twenty-five patients with "postgastrectomy" syndromes were treated with surgical measures. Eleven with dumping syndrome received pouch-type (two) procedures or precedures at least partially involving reversed jejunal segment (nine). Results in the latter were good or excellent in all but one. Nine patients with afferent loop obstruction, treated by various methods for altering the disordered mechanisms, were relieved of the mechanical disorder. In seven of the nine the clinical results were good or excellent. Four patients treated for postvagotomy diarrhea by a reversed jejunal segment experienced good or excellent results. One patient with postvagotomy diarrhea treated by a reversed ileal segment did not.
Author Affiliations
Houston
From the Cora and Webb Mading Department of Surgery, Baylor College of Medicine, and the Ben Taub General, Methodist, and Veterans Administration hospitals, Houston.
Footnotes
Accepted for publication Dec 15, 1970.
Read before the 78th annual meeting of the Western Surgical Association, Colorado Springs, Colo, Nov 19, 1970.
Reprint requests to 1200 Moursund Blvd. Houston 77025 (Dr. Jordan).
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