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William R. Coppinger, MD; Henry Job, MD; John E. DeLauro, MD; Lloyd M. Westerbuhr, MD; Frank B. McGlone, MD; Robert G. Phillips, MD

AMA Arch Surg. 1973;106(4):463-468.

Abstract
We have treated 26 cases of reflux gastritis and/or esophagitis by diverting bile and duodenal juices from the stomach by using a Roux-en-Y jejunojejunostomy. Postprandial pain, nausea, and vomiting correlated with characteristic endoscopic findings to establish the diagnosis.

Twenty-four patients had Roux-en-Y revisions of gastric procedures. Two patients with incompetent pyloric sphincters underwent antrectomy, vagotomy, and Roux-en-Y jejunojejunostomy. Pain, nausea, and vomiting were relieved in 23 patients. Two patients were only partially benefited. One death occurred postoperatively. Twelve patients who had marked weight loss regained weight to normal levels.

Author Affiliations
Denver

From the departments of surgery (Drs. Coppinger, Westerbuhr, and DeLauro) and gastroenterology (Drs. Job, Phillips, and McGlone), the Denver Clinic.

Footnotes
Accepted for publication Dec 15, 1972.

Read before the 80th annual meeting of the Western Surgical Association, Rochester, Minn, Nov 17, 1972.

Reprint requests to the Denver Clinic, 701 E Colfax, Denver 80203 (Dr. Coppinger).

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