THE NUMBER of patients requiring a subtotal gastric resection for gastric and duodenal ulcers or neoplasms of the stomach is increasing. This enlarges the number of individuals who may be bothered with the so-called dumping syndrome. We do not yet know all the answers to this problem. This is obvious from the number of papers being published all the time describing new technical procedures in an effort to overcome this syndrome. It seems to me, however, that the surgeon, if he will take a little time, can do a great deal to relieve his patients of these symptoms.
At the University of California Medical Center, an increasing number of patients are coming to us who have had gastric resections done elsewhere. Most of them have been definitely improved, but it is amazing to see how many are still bothered considerably by the dumping syndrome. Much of this distress could have