[Proof of the jejunogastric bile reflux after BII partial gastrectomy using 99mTc diethyl-IDA (author's transl)]

A history was obtained and barium meal and gastroscopy performed on 42 patients after a Billroth II partial gastrectomy. In order to demonstrate and quantify jejuno-gastric bile reflux, hepato-biliary sequential scintigraphy was carried out using 99mTc diethyl-IDA. The method has advantages over conventional techniques in that it is easy for the patient and demonstrates reflux both when the stomach is empty and full. The result showed that all patients who had evidence of inflammatory changes or ulcers on barium meal or gastroscopy had evidence of reflux.