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Related Experiment Videos

[Postgastrectomy syndromes with special reference to reflux esophagitis].

H Nier, H Wienbeck, W Berges

    Langenbecks Archiv Fur Chirurgie
    |January 1, 1983
    PubMed
    Summary

    Following total gastrectomy, both jejunal interposition and jejunoplication techniques can prevent or reduce esophageal reflux. Clinical signs and endoscopic evidence of reflux esophagitis were observed in patients undergoing these procedures.

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    Area of Science:

    • Gastroenterology
    • Surgical Oncology
    • Esophageal Physiology

    Context:

    • Post-total gastrectomy reconstruction is crucial for patient outcomes.
    • Esophageal reflux is a common complication after gastric surgery.
    • Surgical techniques for stomach replacement have evolved over time.

    Purpose:

    • To evaluate the incidence and characteristics of esophageal reflux after total gastrectomy.
    • To compare the efficacy of jejunal interposition versus jejunoplication in preventing reflux.
    • To assess the correlation between clinical signs, endoscopic findings, and manometric data in reflux assessment.

    Summary:

    • This study followed 60 patients post-total gastrectomy for a mean of 65 months.
    • Clinical signs of esophageal reflux were noted in 50% of jejunoplication cases and 33% of jejunal interposition cases.

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  • Reflux esophagitis was endoscopically confirmed in 13 of 16 patients, with only 5 demonstrating a functioning lower esophageal sphincter mechanism.
  • No correlation was found between endoscopic-bioptic and manometric examination results.

    • Impact:

    • Both jejunal interposition and jejunoplication appear effective in preventing or reducing esophageal reflux post-gastrectomy.
    • Findings highlight the high prevalence of reflux esophagitis despite surgical reconstruction.
    • Further research may explore optimizing surgical techniques to improve esophageal function and reduce reflux complications.