To the Editor.—I have just read with interest the article by López et al, "A Reversed Jejunal Segment Interposition as Feeding Gastrostomy" (Arch Surg 112:343-344, 1977). These authors state that an isolated reversed jejunal segment functions well as a permanent feeding gastrostomy, and that they derived their idea to perform the procedure from experimental work done by gastric physiologists.
I would like to call to the authors' attention that Lloyd M. Nyhus and the late Henry N. Harkins reported on this procedure 19 years ago (Bull Soc Int Chir 17:254, 1958). It is of further interest that Nyhus et al reported on additional experience with the procedure in the Archives (83:864-868, 1961). Dr John Jessup also gave a detailed description of the operation procedure.1 I thought this might be of interest to the authors, as well as reference material for readers.