A new operation for the dumping syndrome associated with a small gastric pouch. A report of a case

A case of a 72-year-old man with a long-standing disabling dumping syndrome and close to 90% gastric resection is described. A combined iso- and antiperistaltic jejunal transfer which is described step by step with drawings resulted in complete relief of the syndrome. The operation is believed to produce a longer delay in gastric emptying than an isoperistaltic jejunal loop alone, yet avoiding the complications of a single antiperistaltic jejunal segment. The follow-up is now 3 years.