The effect of isoperistaltic jejunal interposition upon gastric emptying.
Ten patients with severe postgastrectomy-postvagotomy symptoms, all of whom had the features of vasomotor dumping, underwent gastric emptying studies, using a 300 milliliter meal of 15 per cent dextrose labeled with 99mTc-sulphur colloid. Studies were repeated two to 11 months following remedial operative treatment, using a 12.5 to 15.0 centimeter isoperistaltic jejunal interposition. Preoperatively, all patients had rapid gastric emptying with a typical biphasic pattern. Following isoperistaltic interposition, the rate of gastric emptying was similar to that found in control patients. Gastric emptying reverted to a more normal pattern but, as in the preoperative studies, was best described by a double exponential function, consisting of slow and fast components. Analysis of these particular functions suggests the manner in which isoperistaltic interposition modified the underlying disorder of gastric motility.
D000328:Adult; D005260:Female; D005746:Gastric Emptying; D005947:Glucose; D006801:Humans; D007583:Jejunum / Q000502:physiology / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D010528:Peristalsis; D011178:Postgastrectomy Syndromes / Q000503:physiopathology / Q000601:surgery*; D013455:Sulfur; D013667:Technetium; D013671:Technetium Tc 99m Sulfur Colloid
D013671:Technetium Tc 99m Sulfur Colloid; D013455:Sulfur; D013667:Technetium; D005947:Glucose