Favorable Postgastrectomy Results in Billroth II Patients with a Small Stoma

Influence of a Small Stoma on Late Results after Billroth II Resection

“…Later, how ever, it has been shown after addition of hypertonic glucose solution to the contrast medium, that a small stoma gives rise to prolonged em ptying tim e, decreased reaction of the small intestine and less postcibal sym ptom s as compared with a larger stoma [1,3,13]. In many clinical series it has been shown, that there are rem arkably few postcibal sym ptom s, when the stoma has a diam eter smaller than th at of the jejunum [2,4,10,14,19,21,22].During the ten-year period 1948-1957 197 patients with gastro duodenal ulcers were treated with gastric resection of the Billroth II type by the same surgeon at Ludvika County hospital (K. Ostling, M.D.). This m aterial is of interest in the sense that no essential factor has been varied except the stomal width.…”