@article{oai:nagasaki-u.repo.nii.ac.jp:00019897,
 author = {Miura, Toshio and Hirano, Tatsuo and Kusano, Hiroyuki and Nakagoe, Tohru and Nakao, Haruhiko and Miyashita, Kohsei and Shimizu, Teruhisa and Shimoyama, Takatoshi and Ayabe, Hiroyoshi and Tomita, Msao},
 issue = {1/4},
 journal = {Acta Medica Nagasakiensia},
 month = {Dec},
 note = {The remedial operation for the control of sympotoms was carried out in 6 cases with severe dumping syndrome. Three male cases and 3 female cases were treated, and its age at the initial gastrectomy ranged from 24 to 64 years old, and 5 cases with gastric ulcer and 1case with gastric cancer were observed as primary diseases. As the initial operative procedures, distal subtotal gastrectomy in 5 cases, distal hemigastrectomy in one case and Billroth II type anastomosis in 5 cases with gastric ulcer were performed, and 1case with gastric cancer was reconstructed by Billroth I type anastomosis. Dumping symptom developed from 3 weeks to 1 month after gastrectomy in all cases except 1, and body weight loss due to labor disturbance and malnutrition was observed. They have been suffering from the syndrome for 3 to 27 years, and remarkable rapid transit of gastric contents was observed on both roentgenograph and gastric scintigram before surgery. As reoperation, the jejunum was interposed reversibly from 5 to 9cm between the gastric remnant and duodenum. Re-surgery was necessitated in 1 case, while improvement of symptoms was observed in remaining cases, and reduction of the emptying time of gastric contents was observed by imaging diagnosis., Acta Medica Nagasakiensia. 1992, 37(1-4), p.120-126},
 pages = {120--126},
 title = {Jejunal Interposition as Remedial Operation for Severe Dumping Syndrome},
 volume = {37},
 year = {1992}
}