Nutritional status following subtotal gastrectomy with jejunal replacement; experimental evaluation.

Abstract

In recent years (1952) Henley 1 has suggested that the postgastrectomy nutritional disturbances which frequently occur after the Billroth II type of subtotal gastrectomy can be minimized if a jejunal segment is interposed isoperistaltically between the residual stomach and the duodenum. Henley has called this operation gastrectomy with replacement and has reported its performance in 110 patients, with 97% of the patients exhibiting a gain in weight after operation.* Experimental evaluation of certain aspects of the nutritional status following this procedure of subtotal gastrectomy with jejunal replacement was performed. METHOD OF STUDY Eight healthy mongrel dogs were successfully subjected to subtotal gastrectomy with jejunal replacement. The operative procedure is illustrated in Figure 1. Seventy-five to 80% of the stomach was resected in each instance, and the Hofmeister method of removing the lesser curvature portion of the residual gastric pouch was used. A segment o proximal jejunum approximately 8 to 10