[Surgical treatment of postgastrectomy syndromes]

The article deals with 33-year experience in surgical treatment of 200 patients. Among the indications for surgery were severe degrees of the dumping syndrome, the afferent loop syndrome, moderately severe progressive forms of these syndromes, and a stable pain syndrome and bilious vomiting in reflux gastritis. Three types of reconstructive operations were performed: gastroejunoduodenoplasty in 152 patients, gastroduodenoanastomosis in 20 patients, and formation of gastrojejunal Y-shaped EEA after Roux in 28 patients. The operations was complemented by vagotomy in 96 patients. One patient died after operation performed in the clinic. In the late-term periods after reconstructive gastroejunoplasty positive results were recorded in 91% of patients examined.