An alternative to Roux-en-Y for treatment of bile reflux gastritis.

Exclusion jejunoduodenostomy has been successfully used as the primary operation in five patients with severe bile reflux gastritis and in one patient with disabling Roux-en-Y syndrome. The operation is simple to perform, requires one anastomosis and appears to eliminate bile reflux gastritis and avoid potential emptying complications associated with the Roux-en-Y segment.