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Antiperistaltic Segments of Jejunum in the Treatment of the Dumping Syndrome

Edward A. Stemmer, MD; S. Austin Jones, MD; Seibert C. Pearson, MD; John E. Connolly, MD
Arch Surg. 1969;98(4):396-405. doi:10.1001/archsurg.1969.01340100028002.
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Although the general term "postgastrectomy syndrome" is sometimes used to describe the numerous anatomical and physiological disturbances that may appear following operations upon the stomach, it is well recognized that the postgastrectomy syndrome is, in fact, a group of more or less distinct entities often occurring together in varying degrees of severity. Loss of the gastric reservoir function, incomplete obstruction of the gastric outlet, stagnation-obstruction of an afferent loop, anemia, multiple nutritional disturbances, and the dumping syndrome constitute the major categories within the postgastrectomy syndrome. Successful management of patients suffering from one or more of these conditions depends upon the clinician's ability to establish the nature of the pathology present in a particular patient. Our experiences with the identification and surgical treatment of the dumping syndrome are the subject of this report.

One of the difficulties confronting those attempting to study and treat the dumping syndrome is the wide discrepancy


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