Clinical results of jejunal transposition.

In eleven patients with partial gastrectomy and isoperistaltic jejunal interpositions in ulcer disease the concentrations of bile acids and lysolecithin were determined. While with jejunal interpositions of 20 cm and more in length normal amounts of duodenogastric reflux could be observed, in patients with shorter segments the values were still pathological. The satisfactory reflux preventing effect of 20 cm jejunal interposition could be demonstrated in three patients by measuring the pre- and postoperative intragastric bile acids and lysolecithin, showing a normalization of both parameters postoperatively. The clinical use of isoperistaltic interposition is discussed.