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Reversed Jejunal Segments and Gastric Hypersecretion

Reversed Jejunal Segments and Gastric Hypersecretion Abstract It is now a well established fact that gastric hypersecretion follows massive intestinal resection.1 The cause for this hypersecretion of acid is unknown at present but may well be due to the absence of normal intestinal inhibitors of gastric secretion.2 The clinical use of reversed intestinal segments has rapidly evolved since 1951 when J. H. Hammer demonstrated that dogs could survive with reversal of the entire duodenum.3 Up to that time the conclusions of F. P. Mall and William Halsted4 in 1896 that reversed intestinal segments ultimately caused death in experimental animals through acute or chronic obstruction had remained unchallenged in the literature. In 1962, L. D. Gibson5 applied Hammer's suggestion6 clinically by reversing a 7.5-cm jejunal segment in a patient who had had a massive intestinal resection. The result was very encouraging and established the use of short reversed intestinal segments in people following References 1. Frederick, P.L.; Sizer, J.S.; and Osborne, M.P.: Relation of Massive Bowel Resection to Gastric Secretion , New Eng J Med 272:509, 1965.Crossref 2. Kerr, G.; Elliott, D.W.; and Endahl, G.L.: Effect of Antrectomy on Gastric Acid Hypersecretion Induced by Isolation of the Proximal Small Bowel , Amer J Surg 115:157-164 ( (Feb) ) 1968.Crossref 3. Hammer, J.H., and Hill, E.J.: Experimental Ulcer Produced by Reversing the Duodenum , Harper Hosp Bull 9:129-131 ( (July) -Aug) 1951. 4. Mall, F.: Reversal of the Intestine , Johns Hopkins Hosp Rep 1:93, 1896. 5. Gibson, L.D.; Carter, R.; and Hinshaw, D.B.: Segmental Reversal of Small Intestine After Massive Bowel Resection , JAMA 182:952-954 ( (Dec 1) ) 1962.Crossref 6. Hammer, J.M., et al: The Effect of Antiperistaltic Bowel Segments on Intestinal Emptying Time , Arch Surg 79:537-541 ( (Oct) ) 1959.Crossref 7. Grundberg, A.B.; Lopez, A.S.; and Dragstedt, L.R., II: Effect of Intestinal Reversal and Massive Resection on Gastric Secretion , Arch Surg 94:326-327 ( (March) ) 1967.Crossref 8. Fink, W.J., and Olson, J.D.: The Massive Bowel Resection Syndrome: Treatment With Reversed Intestinal Segments , Arch Surg 94:700-706 ( (May) ) 1967.Crossref 9. Rigler, S.P., et al: Pyloric Stenosis and Gastric Ulcer , Arch Surg 71:191-195 ( (Aug) ) 1955.Crossref 10. Poth, E.J., and Cleveland, B.R.: A Functional Substitution Pouch for the Stomach (B) , Arch Surg 83:42-54 ( (July) ) 1961.Crossref 11. Schlicke, C.P.: Complications of Vagotomy , Amer J Surg 106:206-216 ( (Aug) ) 1963.Crossref 12. Herrington, J.L., Jr., et al: Treatment of Severe Postvagotomy Diarrhea by Reversed Jejunal Segment , Ann Surg 168:522-541 ( (Sept) ) 1968.Crossref 13. Craft, I.L., and Venables, C.W.: Antiperistaltic Segment of Jejunum for Persistent Diarrhea Following Vagotomy , Ann Surg 167:282-286 ( (Feb) ) 1968.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

Reversed Jejunal Segments and Gastric Hypersecretion

Archives of Surgery , Volume 98 (6) – Jun 1, 1969

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Publisher
American Medical Association
Copyright
Copyright © 1969 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1969.01340120061007
Publisher site
See Article on Publisher Site

Abstract

Abstract It is now a well established fact that gastric hypersecretion follows massive intestinal resection.1 The cause for this hypersecretion of acid is unknown at present but may well be due to the absence of normal intestinal inhibitors of gastric secretion.2 The clinical use of reversed intestinal segments has rapidly evolved since 1951 when J. H. Hammer demonstrated that dogs could survive with reversal of the entire duodenum.3 Up to that time the conclusions of F. P. Mall and William Halsted4 in 1896 that reversed intestinal segments ultimately caused death in experimental animals through acute or chronic obstruction had remained unchallenged in the literature. In 1962, L. D. Gibson5 applied Hammer's suggestion6 clinically by reversing a 7.5-cm jejunal segment in a patient who had had a massive intestinal resection. The result was very encouraging and established the use of short reversed intestinal segments in people following References 1. Frederick, P.L.; Sizer, J.S.; and Osborne, M.P.: Relation of Massive Bowel Resection to Gastric Secretion , New Eng J Med 272:509, 1965.Crossref 2. Kerr, G.; Elliott, D.W.; and Endahl, G.L.: Effect of Antrectomy on Gastric Acid Hypersecretion Induced by Isolation of the Proximal Small Bowel , Amer J Surg 115:157-164 ( (Feb) ) 1968.Crossref 3. Hammer, J.H., and Hill, E.J.: Experimental Ulcer Produced by Reversing the Duodenum , Harper Hosp Bull 9:129-131 ( (July) -Aug) 1951. 4. Mall, F.: Reversal of the Intestine , Johns Hopkins Hosp Rep 1:93, 1896. 5. Gibson, L.D.; Carter, R.; and Hinshaw, D.B.: Segmental Reversal of Small Intestine After Massive Bowel Resection , JAMA 182:952-954 ( (Dec 1) ) 1962.Crossref 6. Hammer, J.M., et al: The Effect of Antiperistaltic Bowel Segments on Intestinal Emptying Time , Arch Surg 79:537-541 ( (Oct) ) 1959.Crossref 7. Grundberg, A.B.; Lopez, A.S.; and Dragstedt, L.R., II: Effect of Intestinal Reversal and Massive Resection on Gastric Secretion , Arch Surg 94:326-327 ( (March) ) 1967.Crossref 8. Fink, W.J., and Olson, J.D.: The Massive Bowel Resection Syndrome: Treatment With Reversed Intestinal Segments , Arch Surg 94:700-706 ( (May) ) 1967.Crossref 9. Rigler, S.P., et al: Pyloric Stenosis and Gastric Ulcer , Arch Surg 71:191-195 ( (Aug) ) 1955.Crossref 10. Poth, E.J., and Cleveland, B.R.: A Functional Substitution Pouch for the Stomach (B) , Arch Surg 83:42-54 ( (July) ) 1961.Crossref 11. Schlicke, C.P.: Complications of Vagotomy , Amer J Surg 106:206-216 ( (Aug) ) 1963.Crossref 12. Herrington, J.L., Jr., et al: Treatment of Severe Postvagotomy Diarrhea by Reversed Jejunal Segment , Ann Surg 168:522-541 ( (Sept) ) 1968.Crossref 13. Craft, I.L., and Venables, C.W.: Antiperistaltic Segment of Jejunum for Persistent Diarrhea Following Vagotomy , Ann Surg 167:282-286 ( (Feb) ) 1968.Crossref

Journal

Archives of SurgeryAmerican Medical Association

Published: Jun 1, 1969

References