SURGICAL-TREATMENT OF POSTGASTRECTOMY SYN DROMES

The article deals with 33-year experience in surgical treatment of 200 patients. Among the indications for surgery were severe degrees of th e dumping syndrome, the afferent loop syndrome, moderately severe prog ressive forms of these syndromes, and a stable pain syndrome and bilio us vomiting in reflux gastritis. Three types of reconstructive operati ons were performed: gastroejunoduodenoplasty in 152 patients, gastrodu odenoanastomosis in 20 patients, and formation of gastroejunal Y-shape d EEA after Roux in 28 patients. The operations was complemented by va gotomy in 96 patients. One patient died after operation performed in t he clinic. In the late-term periods after reconstructive gastroejunopl asty positive results were recorded in 91 % of patients examined.