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Surgical Treatment of Reflux Gastritis and Esophagitis

Surgical Treatment of Reflux Gastritis and Esophagitis Abstract We have treated 26 cases of reflux gastritis and/or esophagitis by diverting bile and duodenal juices from the stomach by using a Roux-en-Y jejunojejunostomy. Postprandial pain, nausea, and vomiting correlated with characteristic endoscopic findings to establish the diagnosis. Twenty-four patients had Roux-en-Y revisions of gastric procedures. Two patients with incompetent pyloric sphincters underwent antrectomy, vagotomy, and Roux-en-Y jejunojejunostomy. Pain, nausea, and vomiting were relieved in 23 patients. Two patients were only partially benefited. One death occurred postoperatively. Twelve patients who had marked weight loss regained weight to normal levels. References 1. Wells C, Johnson JH: Revision to Roux-en-Y anastomosis for post-gastrectomy symptoms . Lancet 1:479-481, 1956.Crossref 2. Toye DKM, Williams JA: Post-gastrectomy bile vomiting . Lancet 2:524-526, 1965.Crossref 3. Van Heerden JA, et al: Postoperative alkaline reflux gastritis . Am J Surg 118:427-433, 1969.Crossref 4. Moffat RC, Berkas EM: Bile esophagitis . Arch Surg 91:963-966, 1965.Crossref 5. Ritchie WP Jr, Delaney JP: Parietal cell changes in the stomach after ulcer operations . J Surg Res 12:17-23, 1972.Crossref 6. Gillison EW, et al: The significance of bile in reflux esophagitis . Surg Gynecol Obstet 134:419-424, 1972. 7. Weaver AW, Large AM, Walt AJ: Surgical management of severe reflux esophagitis: Eight to 17-year follow-up study . Am J Surg 119:15-18, 1970.Crossref 8. Mackman S, Lemmer K, Morrissey JP: Postoperative reflux alkali gastritis and esophagitis . Am J Surg 121:694-697, 1971.Crossref 9. Tanner NC: The surgical treatment of peptic ulcer . Br J Surg 51:5-23, 1964.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

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References (11)

Publisher
American Medical Association
Copyright
Copyright © 1973 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1973.01350160081013
Publisher site
See Article on Publisher Site

Abstract

Abstract We have treated 26 cases of reflux gastritis and/or esophagitis by diverting bile and duodenal juices from the stomach by using a Roux-en-Y jejunojejunostomy. Postprandial pain, nausea, and vomiting correlated with characteristic endoscopic findings to establish the diagnosis. Twenty-four patients had Roux-en-Y revisions of gastric procedures. Two patients with incompetent pyloric sphincters underwent antrectomy, vagotomy, and Roux-en-Y jejunojejunostomy. Pain, nausea, and vomiting were relieved in 23 patients. Two patients were only partially benefited. One death occurred postoperatively. Twelve patients who had marked weight loss regained weight to normal levels. References 1. Wells C, Johnson JH: Revision to Roux-en-Y anastomosis for post-gastrectomy symptoms . Lancet 1:479-481, 1956.Crossref 2. Toye DKM, Williams JA: Post-gastrectomy bile vomiting . Lancet 2:524-526, 1965.Crossref 3. Van Heerden JA, et al: Postoperative alkaline reflux gastritis . Am J Surg 118:427-433, 1969.Crossref 4. Moffat RC, Berkas EM: Bile esophagitis . Arch Surg 91:963-966, 1965.Crossref 5. Ritchie WP Jr, Delaney JP: Parietal cell changes in the stomach after ulcer operations . J Surg Res 12:17-23, 1972.Crossref 6. Gillison EW, et al: The significance of bile in reflux esophagitis . Surg Gynecol Obstet 134:419-424, 1972. 7. Weaver AW, Large AM, Walt AJ: Surgical management of severe reflux esophagitis: Eight to 17-year follow-up study . Am J Surg 119:15-18, 1970.Crossref 8. Mackman S, Lemmer K, Morrissey JP: Postoperative reflux alkali gastritis and esophagitis . Am J Surg 121:694-697, 1971.Crossref 9. Tanner NC: The surgical treatment of peptic ulcer . Br J Surg 51:5-23, 1964.Crossref

Journal

Archives of SurgeryAmerican Medical Association

Published: Apr 1, 1973

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