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[Y-loop gastrojejunostomy in postoperative gastritis caused by reflux]
P Saillen1, F Mosimann, P Cornu
1Service de Chirurgie B, CHUV, Lausanne, Suisse.
Journal De Chirurgie
|March 1, 1990
Summary
This study on postoperative reflux gastritis found that foveolar hyperplasia in stomach biopsies indicates enterogastric reflux. Roux-en-Y gastrojejunostomy showed good clinical outcomes for patients.
Area of Science:
- Gastroenterology
- Surgical Pathology
Context:
- Postoperative reflux gastritis can occur after surgeries altering the pyloric sphincter.
- The study investigated patients experiencing symptoms between 1974 and 1987.
Purpose:
- To evaluate clinical outcomes of Roux-en-Y gastrojejunostomy for reflux gastritis.
- To identify histological indicators of enterogastric reflux.
Summary:
- A prospective study of 24 patients with postoperative reflux gastritis after Roux-en-Y gastrojejunostomy (at 50 cm) demonstrated good clinical results (Visick score, gastroscopy).
- Histological analysis of biopsy specimens revealed foveolar hyperplasia as a reliable indicator of enterogastric reflux.
Impact:
- Foveolar hyperplasia serves as a valuable diagnostic marker for enterogastric reflux.
- The findings support the efficacy of Roux-en-Y gastrojejunostomy in managing reflux gastritis.