Long term evaluation of a reservoir jejunal interposition with an isoperistaltic conduit in the management of patients with the small stomach syndrome.
The results of reservoir jejunal interposition in 9 patients with severe symptoms of the small stomach syndrome have been reviewed after a median follow-up period of 4.2 years (range 6 months to 10 years). Objective assessment of improvement in terms of weight gain, haemoglobin and serum albumin levels was obtained in all the patients but only 3 have reached and maintained their ideal weight. No patient has been rendered symptom free, but significant improvement of the post-cibal symptoms was observed in 7 patients. The most common residual symptoms have been heartburn and postprandial epigastric fullness. These have improved with metoclopramide therapy.
D000328:Adult; D001835:Body Weight; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007583:Jejunum / Q000637:transplantation*; D008297:Male; D008875:Middle Aged; D010528:Peristalsis; D011178:Postgastrectomy Syndromes / Q000601:surgery*