[Problems in reconstruction of digestive continuity in demolition surgery of the stomach]

The commonest stomach demolition techniques and the chances of re-establishing digestive continuity following gastric exersis are examined. The physiological consequences of gastric surgery - gastric, pancreatic and biliary consequences - are discussed. After analysing general and specific operating complications, early and late postoperative complications and general and metabolic complications, the paper closed with a presentation of the results of a reassessment of 1415 gastroduodenostomies carried out using the same technique over a period of eight years by three teams directed and controlled directly or indirectly by Prof. G. Brancadoro.