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Isoperistaltic jejunal interposition for intractable postgastrectomy alkaline reflux gastritis.
J Am Coll Surg. 1995 Jun; 180(6):648-53.JA

Abstract

BACKGROUND

The Roux-en-Y gastrojejunostomy is a popular method in the operative treatment of alkaline reflux gastritis and other postgastrectomy sequelae, but is associated with a high incidence of the so-called "Roux stasis syndrome." The Henley jejunal interposition has been used occasionally, albeit not widely, as an alternative to the Roux-en-Y reconstruction.

STUDY DESIGN

Six patients underwent Henley gastrojejunoduodenostomy to treat severe (Visick grade IV) symptoms following Billroth I and II procedures for peptic ulcer disease. All interposed jejunal segments were 40 cm in length and isoperistaltic in orientation. All patients had follow-up examination and telephone interview (mean 4.3 years, range 2.2 to 7.8 years).

RESULTS

All patients noted dramatic improvement after remedial surgery in the first year of follow-up. After the first postoperative year, all patients remained virtually symptom-free (Visick grade I and II) with no complaints of gastrojejunal stasis or bile acid reflux.

CONCLUSIONS

This experience suggests that the Henley jejunal interposition is our effective method of treating reflux gastritis and is not associated with the poor emptying frequently associated with the Roux-en-Y reconstruction.

Authors+Show Affiliations

Department of Surgery, Beth Israel Hospital, Boston, MA 02215, USA.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

7773476

Citation

Aranow, J S., et al. "Isoperistaltic Jejunal Interposition for Intractable Postgastrectomy Alkaline Reflux Gastritis." Journal of the American College of Surgeons, vol. 180, no. 6, 1995, pp. 648-53.
Aranow JS, Matthews JB, Garcia-Aguilar J, et al. Isoperistaltic jejunal interposition for intractable postgastrectomy alkaline reflux gastritis. J Am Coll Surg. 1995;180(6):648-53.
Aranow, J. S., Matthews, J. B., Garcia-Aguilar, J., Novak, G., & Silen, W. (1995). Isoperistaltic jejunal interposition for intractable postgastrectomy alkaline reflux gastritis. Journal of the American College of Surgeons, 180(6), 648-53.
Aranow JS, et al. Isoperistaltic Jejunal Interposition for Intractable Postgastrectomy Alkaline Reflux Gastritis. J Am Coll Surg. 1995;180(6):648-53. PubMed PMID: 7773476.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Isoperistaltic jejunal interposition for intractable postgastrectomy alkaline reflux gastritis. AU - Aranow,J S, AU - Matthews,J B, AU - Garcia-Aguilar,J, AU - Novak,G, AU - Silen,W, PY - 1995/6/1/pubmed PY - 1995/6/1/medline PY - 1995/6/1/entrez SP - 648 EP - 53 JF - Journal of the American College of Surgeons JO - J Am Coll Surg VL - 180 IS - 6 N2 - BACKGROUND: The Roux-en-Y gastrojejunostomy is a popular method in the operative treatment of alkaline reflux gastritis and other postgastrectomy sequelae, but is associated with a high incidence of the so-called "Roux stasis syndrome." The Henley jejunal interposition has been used occasionally, albeit not widely, as an alternative to the Roux-en-Y reconstruction. STUDY DESIGN: Six patients underwent Henley gastrojejunoduodenostomy to treat severe (Visick grade IV) symptoms following Billroth I and II procedures for peptic ulcer disease. All interposed jejunal segments were 40 cm in length and isoperistaltic in orientation. All patients had follow-up examination and telephone interview (mean 4.3 years, range 2.2 to 7.8 years). RESULTS: All patients noted dramatic improvement after remedial surgery in the first year of follow-up. After the first postoperative year, all patients remained virtually symptom-free (Visick grade I and II) with no complaints of gastrojejunal stasis or bile acid reflux. CONCLUSIONS: This experience suggests that the Henley jejunal interposition is our effective method of treating reflux gastritis and is not associated with the poor emptying frequently associated with the Roux-en-Y reconstruction. SN - 1072-7515 UR - https://www.unboundmedicine.com/medline/citation/7773476/Isoperistaltic_jejunal_interposition_for_intractable_postgastrectomy_alkaline_reflux_gastritis_ DB - PRIME DP - Unbound Medicine ER -