Document Detail


The surgical treatment of postgastrectomy reflux gastritis.
MedLine Citation:
PMID:  6710293     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Eighteen patients with postgastrectomy reflux gastritis were treated between 1970 and 1981 by Roux-en-Y diversion. All of the patients had a typical history of midepigastric burning pain and the majority had bilious vomiting as well. The diagnosis was confirmed by endoscopic results and histopathologic study of the gastric mucosa. Twelve surviving patients--one patient died postoperatively--experienced a dramatic relief of the symptoms. In five patients, gastrointestinal tract complaints reappeared but did not have the typical character of reflux gastritis. The macroscopically apparent gastritis subsided completely after revisional operations; while the histologic signs and symptoms of chronic gastritis remained. The Roux-en-Y diversion for patients with post-gastrectomy reflux gastritis proved to be a safe and relatively simple procedure with a high chance of relieving the complaints of the patient. The preoperative and postoperative gastric mucosal biopsies were not of much use in confirming the diagnosis or substantiation of the beneficial effect of the remedial operation.
Authors:
Z J de Langen; M J Slooff; W Jansen
Related Documents :
3345853 - The akiyama procedure in the surgical management of oesophageal cardiacarcinoma.
12111583 - Endoscopic evaluation of the remnant stomach after gastrectomy: proposal for a new clas...
18519123 - Twenty-eight-day mortality in critically ill surgical patients is an imprecise temporal...
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Surgery, gynecology & obstetrics     Volume:  158     ISSN:  0039-6087     ISO Abbreviation:  Surg Gynecol Obstet     Publication Date:  1984 Apr 
Date Detail:
Created Date:  1984-05-04     Completed Date:  1984-05-04     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0101370     Medline TA:  Surg Gynecol Obstet     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  322-6     Citation Subset:  AIM; IM    
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Duodenal Ulcer / surgery
Female
Gastrectomy / adverse effects*
Gastric Mucosa / pathology
Gastritis / diagnosis,  etiology,  surgery*
Gastroesophageal Reflux / diagnosis,  etiology,  surgery*
Humans
Male
Methods
Middle Aged
Postoperative Complications / surgery
Stomach Ulcer / surgery
Time Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Effect of secretin stimulation upon serum immunoreactive trypsin in patients with carcinoma of the p...
Next Document:  Operative cholangiography by direct puncture of the common bile duct.