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Arnis B. Grundberg, MD; Alberto S. Lopez, MD; Lester R. Dragstedt, II, MD

AMA Arch Surg. 1967;94(3):326-329.

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

INTESTINAL reversal has been used in humans to delay the passage of food and to increase absorption in conditions where a large portion of the intestine has been resected. Massive intestinal resection alone has been shown to increase gastric secretion of acid.^1-5

It is the purpose of this paper to see what effect a reversed jejunal segment has on gastric secretion alone and in combination with 75% intestinal resection.

There are several reports in the literature that indicate that intestinal reversal may affect gastric secretion.^6-8 Whether an increase or decrease would result is not clear. Hammer and associates⁶ have done complete duodenal reversal and have shown that gastrojejunal ulcers occur. He believed this to be secondary to prolonged gastric retention with antral stimulation. On another occasion Hammer et al⁷ showed that gastric emptying is prolonged by a 2-inch reversed duodenal segment. Therefore, gastric retention and . . . [Full Text PDF of this Article]

Author Affiliations
Des Moines, Iowa

From the Department of Surgical Research, Veterans Administration Hospital, Des Moines.

Footnotes
Submitted for publication Nov 5, 1966.

Reprint requests to Veterans Administration Center, Des Moines, Iowa 50308 (Louis T. Palumbo, MD).

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