Abstract
Sometimes we encounter the passage disturbance at anastomosis site in early stage as one of uncomfortable post-gastrectomy complication.
We performed gastrectomy in 1, 487 patients in the past 10 years from 1958 to 1967 and had 52 cases (3.6%) of the complication. The onset came out mostly at 8th to 10th day postoperatively. Edema, spasm and adhesion at the anastomosis sites are thought to be the causes of the complication, but on the other hand asynchronous peristaltic movement between the rest part of the stomach and anastomosed intest'ne would be one of the important factor. We can show the cases of so-called funnel shaped exhaust which we had reported as good evidence for the thesis.
We also made statistical analysis in relating to the basic desease, pre-operative state and method of operation.
As treatment of the complication, we had performed re-operation rather positively until few years ago but recently most of the cases have been treated conservatively with continuous tube feeding of 2 to 3 weeks with success.
I repored the outline of the tube feeding method which we originated.
