January 1966

Dumping Syndrome Following Pyloroplasty

Author Affiliations

From the Surgical Service, Veterans Administration Hospital, and the Department of Surgery of the University of Tennessee College of Medicine, Memphis.

Arch Surg. 1966;92(1):39-43. doi:10.1001/archsurg.1966.01320190041009

SOME OF THE curses attending the use of surgery for control of peptic ulcer are the postoperative physiological disturbances produced by the procedure. Following resection, the term "postgastrectomy syndrome" has evolved. This includes all distresses in addition to the dumping syndrome. Bowers and West1 established a low incidence of dumping or other disagreeable findings following gastroenterostomy regardless of whether or not vagotomy accompanied it. The incidence of dumping syndrome was found to be 1.5%. The high incidence of dumping and other unfavorable symptoms after gastric resection is amply documented and is well known, the incidence varying from 25% to 60%. Severe dumping was noted in 5% to 10%. However, these postoperative sequelae doomed gastric resection as a satisfactory procedure in spite of its ability to control the ulcer well (recurrence rate around 2%). For instance, when the ulcer patient has a resection done for intractability, the postgastrectomy syndrome, even

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