Prevention of duodenal hypertension after gastrectomy

: Based on an analysis of outcomes of gastric resections for ulcer disease in 825 patients and experimental investigations the authors consider that the main cause of incompetence of the duodenum stump is stagnation of contents in the duodenum. For the prevention of this complications the Billroth-II resection with transverse (valvular) enteroanastomosis is recommended.