Proximal jejunal reversal procedure without interposition for management of dumping syndrome

For control of disabling dumping syndrome, a short jejunal reversal interposition between the gastric remnant and the duodenum or between the gastric remnant and the jejunum with or without a second jejunal reversal is in current use. A new procedure, proximal jejunal reversal based on a modified antiperistaltic Roux-en-Y without interposition of the jejunal loop is presented and three cases are reported.