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April 1961

Jejunal Loop Interposition: A Case of Interposition for Postgastrectomy Syndrome Following the Billroth II Operation

Author Affiliations

Section of Surgery (Dr. Walters) and Fellow in Surgery (Dr. Tama), Mayo Clinic and Mayo Foundation. The Mayo Foundation, Rochester, Minn., is a part of the Graduate School of the University of Minnesota.

Arch Surg. 1961;82(4):625-626. doi:10.1001/archsurg.1961.01300100139015

Unfortunately, undesirable sequelae occasionally follow all types of gastric surgery. Certain of these complications are known to occur with some frequency in a particular type of patient. Malnourished, labile, asthenic individuals will, for example, have a higher incidence of dumping and loss of weight than hearty, robust, younger patients, and some of the former type of patients will have the disturbing symptom, bilious vomiting. The original operative procedure adaptable to the one type of patient may be unsuitable for the other, and thus anticipation of these postgastrectomy complications influences the selection of the first procedure. Despite this, in rare cases troublesome symptoms may develop that require an additional operative procedure.

The excellent results which followed a double jejunal-loop interposition in another patient who was vomiting small amounts of bile each day1 seemed to warrant employment of a similar procedure2,3 in the surgical management in the case which we