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[Postoperative alkaline reflux gastritis (author's transl)]
Medizinische Klinik
|February 25, 1977
Summary
Alkaline reflux gastritis, a condition after stomach surgery, causes pain and vomiting due to bile damaging the stomach lining. Surgical treatment aims to redirect bile flow away from the stomach.
Area of Science:
- Gastroenterology
- Surgical Pathology
Context:
- Postoperative complication following gastric surgery involving the pylorus.
- Characterized by the reflux of alkaline duodenal contents into the stomach.
Purpose:
- To describe the clinical entity of alkaline reflux gastritis.
- To outline its causative factors, symptoms, diagnostic findings, and treatment.
Summary:
- Alkaline reflux gastritis results from bile acids destroying the gastric mucosal barrier after pyloric surgery.
- Symptoms include epigastric pain, postprandial fullness, and bile vomiting.
- Diagnosis involves gastroscopy showing chronic atrophic gastritis and bile reflux, often with achlorhydria.
Impact:
- Highlights the distinct pathology and consequences of altered gastric anatomy.
- Emphasizes the need for surgical intervention to divert bile flow for effective management.