Long-term results of surgical treatment for dumping after partial gastrectomy

Abstract

Abstract Forty-seven patients with moderate or severe dumping after partial gastric resection have been observed for 8 years, Twenty patients had been treated for dumping by conversion of the gastrojejunostomy to gastroduodenostomy and in 14 patients an isoperistaltic segment of jejunum had been interposed between the gastric remnant and the duodenum. Thirteen patients with post-gastrectomy dumping had not been operated upon secondarily and served as controls. Fifty per cent of the patients who were surgically treated for dumping improved during the observation time. In the group of patients treated conservatively for dumping improvement was recorded in approximately 60 per cent. The finding of frequent socio-psychiatric manifestations in patients with postgastrectomy dumping emphasizes the importance of considering the mental conditions when selecting patients for gastric surgery. The high proportion of patients who improved spontaneously in the control group stresses also the importance of delaying surgical treatment for a time in patients with postgastrectomy dumping.