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Dumping Syndrome Following Pyloroplasty

Dumping Syndrome Following Pyloroplasty Abstract 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 References 1. Bowers, R.F., and West, E.T.: The Dumping Syndrome After Gastroenterostomy , Surgery 52:596-599, 1962. 2. Fronmuller, F.: " Operation der Pylorusstenose " in Spivack, J.L.: The Surgical Technic of Abdominal Operations , Springfield, Ill: Charles C Thomas, Publisher, 1955, p 430. 3. Finney, J.M.T.: A New Method of Pyloroplasty , Bull Hopkins Hosp 13:155-161, 1902. 4. Small, W.T., and Ashraf, M.: Pyloroplasty and Vagotomy for Duodenal Ulcer , New Eng J Med 272:619-621, 1965.Crossref 5. Weinburg, J.A.: Pyloroplasty and Vagotomy for Duodenal Ulcer, Current Problems in Surgery , Monthly Clinical Monographs, Chicago: Year Book Medical Publishers (April) 1964. 6. Weinburg, J.A., et al: Vagotomy and Pyloroplasty in the Treatment of Duodenal Ulcer , Amer J Surg 92:202, 1956.Crossref 7. McCaughan, J.J., Jr., and Bowers, R.F.: Favorable Postgastrectomy Results in Billroth II Patients With a Small Stoma , Arch Surg 77:837-842, 1958.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

Dumping Syndrome Following Pyloroplasty

Archives of Surgery , Volume 92 (1) – Jan 1, 1966

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Publisher
American Medical Association
Copyright
Copyright © 1966 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1966.01320190041009
Publisher site
See Article on Publisher Site

Abstract

Abstract 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 References 1. Bowers, R.F., and West, E.T.: The Dumping Syndrome After Gastroenterostomy , Surgery 52:596-599, 1962. 2. Fronmuller, F.: " Operation der Pylorusstenose " in Spivack, J.L.: The Surgical Technic of Abdominal Operations , Springfield, Ill: Charles C Thomas, Publisher, 1955, p 430. 3. Finney, J.M.T.: A New Method of Pyloroplasty , Bull Hopkins Hosp 13:155-161, 1902. 4. Small, W.T., and Ashraf, M.: Pyloroplasty and Vagotomy for Duodenal Ulcer , New Eng J Med 272:619-621, 1965.Crossref 5. Weinburg, J.A.: Pyloroplasty and Vagotomy for Duodenal Ulcer, Current Problems in Surgery , Monthly Clinical Monographs, Chicago: Year Book Medical Publishers (April) 1964. 6. Weinburg, J.A., et al: Vagotomy and Pyloroplasty in the Treatment of Duodenal Ulcer , Amer J Surg 92:202, 1956.Crossref 7. McCaughan, J.J., Jr., and Bowers, R.F.: Favorable Postgastrectomy Results in Billroth II Patients With a Small Stoma , Arch Surg 77:837-842, 1958.Crossref

Journal

Archives of SurgeryAmerican Medical Association

Published: Jan 1, 1966

References