Dumping symptoms after vagotomy treated by reversal of pyloroplasty

Abstract

Abstract Eight patients with intractable dumping symptoms following truncal vagotomy and Heineke–Mikulicz pyloroplasty for duodenal ulcer had the pyloroplasty reversed. These patients were assessed, both clinically and by a dumping provocation test, before operation, within 3 months of reversal of the pyloroplasty, and again at 1 year postoperatively. Six of them had no symptoms during the year and results of their dumping provocation tests have reverted to normal. Five have been followed up for a further year and in all the clinical improvement is maintained. Two patients developed recurrent dumping symptoms within 6 months of the reversal procedure.