Abstract
To obtain symptomatic remission, five patients with severe dumping syndrome have received reoperations. The patients, including two males and three females, had undergone gastrectomy when they were from 25 to 50 years old because of gastric ulcer (in 4 cases) or gastric cancer (in one). The first surgical procedures were pylorous-side gastrectomy in 4 and pylorous-side subtotal gastrectomy in one case. Four cases of gastric ulcer or one of gastric cancer received Polya or Billroth I anastomosis respectively. Excepting one case, dumping syndrome occurred around postoperative 3 weeks to one month, and a difficuty to work and a weight-loss due to malnutrition were noted. They have been sufering from the syndrome for 3 to 27 years. Preoperative X-ray examination and gastric scan revealed a significantly stimulated exhausion of the stomach in each case. In the reoperation, the jejunum, 5-9cm, was placed antiperistaltically between the residual stomach and duodenum, and vagotomy was added to the residual stomach. Though one case needed the third sugical treatment, symptomatic remisson was noted in all cases and scintigram revealed a shortening of exhausion time of the stomach.
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