Related Experiment Videos
[Value of endoscopy in the diagnosis of postoperative gastritis caused by alkaline reflux]
R Martínez Castro1, M Pérez-Mateo Regadera, A Baltasar Torrejón
1Hospital Virgen de los Lirios, Alcoy, Alicante.
Objective:
A long term retrospective study comparing endoscopic lesions and their relationship with symptoms and histological lesions of postoperative Alkaline Reflux Gastritis (ARG) between partial gastrectomy Billroth II (n = 25) and the Roux-en-Y (n = 36) is presented.
Patients And Methods:
In patients operated on with both techniques the clinical, endoscopic and histological aspects are studied.
Results:
The patients operated on with the Billroth II technique present a higher frequency of bile in the gastric remnant and mucosal lesions in the endoscopic study (p < 0.001) compared with the Roux-en-Y group. Bile and mucosal lesions on the gastric stump are more common with symptoms and histological lesions of postoperative ARG.
Conclusions:
The endoscopic evaluation is a valid and reliable examination in the diagnosis and follow up of postoperative ARG.