Kommentar Conversion and Interposition (Replacement) Operations in the Treatment of Severe Dumping Syndrome and Anastomotic Ulcer

Abstract

These procedures consist of 1. converting a Billroth II (gastrojejunal) anastomosis after gastric resection to a Billroth I (gastroduodenal) anastomosis and 2. isolating a segment of jejunum or transverse colon and inserting it between the resected stomach and the duodenum either as an associated procedure at the time of the partial gastrectomy to retard the passage of food from the gastric pouch into the duodenum or as a secondary procedure when such complications as recurring ulcer or severe malabsorption and dumping syndrome associated with excessive loss of weight, anemia, bilious vomiting, and steatorrhea develop. They are used less frequently as primary or secondary operations in connection with a Billroth I partial gastrectomy [6, 10, 15, 16].