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M. E. STEINBERG, M.D.

AMA Arch Surg. 1955;71(1):95-108.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Patients with a variety of minor or major postgastrectomy disturbances are most frequently designated as mild or severe dumpers. Theories regarding causation of such disturbances are most frequently based on a number and variety of manifestations ascribed to the precipitate evacuation of unprepared foodstuffs into the efferent jejunal loop (dumping). A searching review of the case histories of 33 patients personally subjected to corrective operations because of crippling postanastomotic and postgastrectomy side-effects with the analysis of results after surgery affords additional support to my previous contention that malfunctions other than those caused by dumping are rather frequent.* A number of such malfunctions can be either prevented or eventually rectified by definitive surgical techniques.

Issues involved in the causation of postanastomotic and postgastrectomy side-effects may be attributed to one of three separate mechanisms of malfunction: (1) Gastric pouch malfunction; (2) Dumping malfunction (efferent loop syndrome, Wells and Welbourn¹⁶); (3) Reflux . . . [Full Text PDF of this Article]

Author Affiliations
Portland, Ore.

From the Department of Physiology, University of Oregon Medical School and the Emanuel Hospital.

Footnotes
Submitted for publication Nov. 29, 1954.

Supported in part by a USPHS grant-in-aid.

Read before the Section on Gastroenterology and Proctology at the 103rd Annual Meeting of the American Medical Association, June 22, 1954.

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