[Alkaline gastritis. Gastric reoperations]

The authors present 23 cases (1.6%) of reoperated patients with alkaline gastritis syndrome at Dr. Bonorino Udaondo National Gastroenterology Hospital. Over 1400 surgical operations performed in order to treat the gastroduodenal ulcer disease; 19 patients showed an evident syndrome of alkaline gastritis and the rest of cases had a mixed syndrome, because of another syndromes. The initial operation was a gastric resection Billroth II type in 22 cases and the rest are had a vagotomy with a gastroenterostomy. In all the cases, clinical, radiological, laboratory, endoscopy and histopathology aspects as well as Kay and Hollander test were studied. The modified surgical operations were: Soupault-Bucaille with isoperistaltic loop (7 cases), with anisoperistaltic loop Poth type (1 case), reoperations with the Y en Roux technique (14 cases), desgastroenterostomy, closing of the jejunal and gastric drainage and pyloroplasty (1 case). It was fulfilled with a vagotomy. The 50% of the cases have to 8 years after the operation; another were reexamined at 100 and 15 years being without symptoms.