• Physiologic derangements cause by
    • Loss of reservoir function
    • Interruption of pyloric sphincter mechanism
    • Vagal nerve transection
  • 25% of patients may develop some symptoms
  • Only approx 1% permanently disabled by symptoms
  • Metabolic Disturbance
    • Afferent Loop Syndrome
    • Efferent Loop Obstruction
    • Alkaline (Bile) Reflux Gastritis
    • Gastric Atony
    • Retained Antrum Syndrome