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Antiperistaltic jejunal interpositioning between stomach and duodenum and reversal of jejunal segments

Experimental studies with clinical applications

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The American Journal of Digestive Diseases Aims and scope Submit manuscript

Summary and conclusion

Animal experiments were made on the interposition of antiperistaltic bowel segments between the stomach and the duodenum, and in the upper part of the jejunum.

If an isoperistaltic bowel segment 10–15 cm. in length is inserted in the jejunum 100 cm. from the ligament of Treitz, no undesirable side-effects are produced. If antiperistaltic loops of bowel of corresponding length are used, severe retention develops in the bowel section in question, the dogs lose appetite and decrease in weight. Differences in diet may enable human subjects better to tolerate the procedure. However, animal experiments suggest that not only should the length indicated (10–15 cm.) not be exceeded, but that it would be advisable to use considerably smaller segments.

Following antrectomy, an isoperistaltic bowel segment 4–6 cm. in length can be inserted between the stomach and the duodenum without any side-effects. A corresponding antiperistaltic bowel segment results in such severe retention in the gastric remnant that this operation in the dog must be regarded as unsatisfactory. It is possible that because of differences in diet the operation can be employed in human subjects with dumping symptoms. However, the length of segment should hardly exceed 4–6 cm. The operation should be supplemented by vagotomy.

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Authors and Affiliations

  1. Department I, From the Institute of Experimental Research in Surgery the University of Copenhagen, and the Municipal Hospital, Denmark

    E. Amdrup M.D., Ph.D., Bente M. Sørensen & S. Walbom-Jørgensen

Authors
  1. E. Amdrup M.D., Ph.D.
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  2. Bente M. Sørensen
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  3. S. Walbom-Jørgensen
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Aided by grants from Statens Videnskabsfond” and P. Carl Petersens Fond.

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Amdrup, E., Sørensen, B.M. & Walbom-Jørgensen, S. Antiperistaltic jejunal interpositioning between stomach and duodenum and reversal of jejunal segments. Digest Dis Sci 12, 1004–1016 (1967). https://doi.org/10.1007/BF02233260

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  • DOI: https://doi.org/10.1007/BF02233260

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