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[Postoperative reflux gastritis].

P Loup, C Fontolliet, J J Gonvers

    Schweizerische Medizinische Wochenschrift
    |July 22, 1978
    PubMed
    Summary
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    Postoperative reflux gastritis, a complication of gastric surgery, is common but often asymptomatic. Foveolar hyperplasia is the sole histological indicator of this condition.

    Area of Science:

    • Gastroenterology
    • Surgical Pathology
    • Endoscopy

    Context:

    • Postoperative reflux gastritis is a recognized clinical syndrome following gastric surgery that affects pyloric function.
    • Enterogastric reflux is frequently observed during endoscopic examinations in patients post-gastric surgery.
    • Evaluating the precise incidence of reflux gastritis remains challenging.

    Purpose:

    • To clinically and endoscopically assess 75 patients post-gastric surgery for reflux gastritis.
    • To histologically examine gastric mucosa in patients with and without symptoms of reflux gastritis.
    • To correlate endoscopic findings with histological changes and clinical symptoms.

    Summary:

    • Enterogastric reflux occurs in 80% of patients, but significant endoscopic changes are seen in only 69%.

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  • Clinical suspicion of reflux gastritis is frequently confirmed by endoscopy.
  • Endoscopic reflux gastritis is symptomatic in approximately 50% of surgical patients, with foveolar hyperplasia being the only consistent histological finding.
  • Impact:

    • Highlights the high prevalence of enterogastric reflux post-gastric surgery.
    • Clarifies the diagnostic utility of endoscopy and histology in identifying reflux gastritis.
    • Identifies foveolar hyperplasia as a key histological marker for reflux gastritis, aiding in diagnosis and management.