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Related Experiment Videos

[Therapeutic problems in alkaline reflux esophagitis].

M Rothmund1

  • 1Klinik für Allgemeinchirurgie, Philipps-Universität, Marburg.

Langenbecks Archiv Fur Chirurgie
|January 1, 1987
PubMed
Summary

Alkaline reflux esophagitis, often after gastric surgery, involves bile and digestive juices damaging the esophagus. Surgical reversal of the anastomosis offers a definitive cure for this condition.

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Surgical leadership.

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Area of Science:

  • Gastroenterology
  • Surgical Gastroenterology

Context:

  • Alkaline reflux esophagitis commonly follows gastric surgery, particularly total gastrectomy.
  • End-to-side esophagoduodenostomy or esophagojejunostomy anastomoses are frequently implicated.
  • The condition involves corrosive digestive contents (bile, pancreatic juice, small bowel contents) eroding esophageal mucosa.

Purpose:

  • To describe the etiology, symptoms, and treatment of alkaline reflux esophagitis.
  • To outline surgical interventions for definitive management.

Summary:

  • Alkaline reflux esophagitis results from gastric surgery, leading to esophageal mucosal damage by bile and pancreatic secretions.
  • Symptomatic treatments include aluminum hydroxide antacids or cholestyramine.
  • Surgical correction via anastomosis reversal, jejunal interposition (50-60 cm), or Roux-Y esophagojejunostomy (≥40 cm loop) provides a definitive cure.

Impact:

  • Highlights the link between specific surgical procedures and alkaline reflux esophagitis.
  • Provides insights into current symptomatic and curative treatment strategies.
  • Emphasizes surgical reconstruction as the definitive solution for this post-gastrectomy complication.

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