{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T16:28:26Z","timestamp":1790008106890,"version":"4.0.1"},"reference-count":15,"publisher":"Oxford University Press (OUP)","issue":"11","license":[{"start":{"date-parts":[[2000,11,1]],"date-time":"2000-11-01T00:00:00Z","timestamp":973036800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2000,11,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Postgastrectomy syndromes include reflux gastritis and oesophagitis, dumping syndrome, intractable diarrhoea and afferent loop syndrome. To prevent such syndromes, since January 1994 jejunal interposition has been used following distal gastrectomy. The aim of this study was to evaluate the benefit of this procedure.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>A consecutive series of 42 patients who underwent distal gastrectomy for gastric cancer was studied. Twenty-two patients had a Billroth I procedure before January 1994, and 20 patients had isoperistaltic jejunal interposition using a 10\u201312-cm segment after January 1994.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>The mean operating time was 260 min for Billroth I and 352 min for jejunal interposition. No serious postoperative complications arose. Reflux gastritis occurred in 19 patients after Billroth I but in none after jejunal interposition. Five patients in the Billroth I group had complaints consistent with dumping syndrome, compared with none after jejunal interposition. The barium gastric emptying time was significantly shorter after Billroth I (mean(s.d.) 269(225) s) than after jejunal interposition (736(479) s) (P &amp;lt; 0\u00b701).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>Jejunal interposition prevented reflux gastritis and inhibited rapid gastric emptying. Postgastrectomy syndromes were effectively prevented by this reconstruction procedure.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1046\/j.1365-2168.2000.01555.x","type":"journal-article","created":{"date-parts":[[2003,3,11]],"date-time":"2003-03-11T07:12:14Z","timestamp":1047366734000},"page":"1576-1579","source":"Crossref","is-referenced-by-count":22,"title":["Jejunal interposition to prevent postgastrectomy syndromes"],"prefix":"10.1093","volume":"87","author":[{"given":"Y","family":"Morii","sequence":"first","affiliation":[{"name":"Surgery Division, Arita Gastrointestinal Hospital , Oita,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T","family":"Arita","sequence":"additional","affiliation":[{"name":"Surgery Division, Arita Gastrointestinal Hospital , Oita,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K","family":"Shimoda","sequence":"additional","affiliation":[{"name":"Surgery Division, Arita Gastrointestinal Hospital , Oita,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K","family":"Yasuda","sequence":"additional","affiliation":[{"name":"Surgery Division, Arita Gastrointestinal Hospital , Oita,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Y","family":"Matsui","sequence":"additional","affiliation":[{"name":"Surgery Division, Arita Gastrointestinal Hospital , Oita,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M","family":"Inomata","sequence":"additional","affiliation":[{"name":"Department of Surgery I, Oita Medical University , Oita,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S","family":"Kitano","sequence":"additional","affiliation":[{"name":"Department of Surgery I, Oita Medical University , Oita,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2000,11,1]]},"reference":[{"key":"2024093005085376200_bib1","doi-asserted-by":"crossref","first-page":"14","DOI":"10.1016\/0002-9610(89)90305-X","article-title":"Complete ten-year postgastrectomy follow-up of early gastric cancer","volume":"158","author":"Itoh","year":"1989","journal-title":"Am J Surg"},{"key":"2024093005085376200_bib2","doi-asserted-by":"crossref","first-page":"308","DOI":"10.1007\/BF01655060","article-title":"Early gastric cancer: results in a general hospital in Japan","volume":"8","author":"Abe","year":"1984","journal-title":"World J Surg"},{"key":"2024093005085376200_bib3","doi-asserted-by":"crossref","first-page":"354","DOI":"10.1002\/bjs.1800730509","article-title":"Intragastric bile acids and histological changes in gastric mucosa","volume":"73","author":"Houghton","year":"1986","journal-title":"Br J Surg"},{"key":"2024093005085376200_bib4","doi-asserted-by":"crossref","first-page":"2313","DOI":"10.1093\/carcin\/13.12.2313","article-title":"Duodenal reflux through the pylorus induces gastric adenocarcinoma in the rat","volume":"13","author":"Miwa","year":"1992","journal-title":"Carcinogenesis"},{"key":"2024093005085376200_bib5","doi-asserted-by":"crossref","first-page":"85","DOI":"10.1007\/BF01574469","article-title":"The Aarhus county vagotomy trial. 1. 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