Gastric dumping syndrome surgery

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

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Surgery

Surgical Procedures

Procedure	Mechanism	Complications
Stoma Revision	Narrowing of the gastrojejunal stoma	Stomal strictures, Gastric outlet obstruction
Jejunal Interposition	Creation of a long iso- or antiperistaltic limb between stomach and jejunum	Ulceration and stenosis of the interposed segment
Pyloric Reconstruction	Modification of pyloroplasty by cutting the pyloroplasty incision and its longitudinal closure	Low-risk
Billroth I to Billroth II conversion	Restoration of physiologic delivery of the meal to the duodenum	Low-risk
Roux limb conversion to Roux-en-Y gastrojejunostomy	Slowing rate of gastric emptying and chyme transit via the Roux limb	Roux stasis
GI retrograde electrical pacing	Experimental procedure (No human studies have been performed)