Related Experiment Videos
Duodenogastric reflux after choledochoduodenostomy
W Ali1, D K Agarwal, S S Sikora
1Department of Surgical Gastroenterology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Rae Bareli, Lucknow, India.
Surgery Today
|January 1, 1997
Summary
Duodenogastric reflux (DGR) is common after choledochoduodenostomy (CDD) surgery. However, this study found that DGR rarely causes significant clinical symptoms in patients.
Area of Science:
- Gastroenterology
- Surgical Outcomes
- Digestive System Diseases
Background:
- Duodenogastric reflux (DGR) is linked to various gastrointestinal pathologies.
- The clinical impact of DGR following choledochoduodenostomy (CDD) requires further elucidation.
Purpose of the Study:
- To determine the incidence of DGR after CDD.
- To evaluate the clinical significance and patient-reported symptoms associated with DGR post-CDD.
Main Methods:
- Study included 13 patients who underwent cholecystectomy with side-to-side CDD.
- Assessment involved symptom evaluation, scintigraphy, endoscopy, and gastric mucosal histology at least 6 months post-surgery.
- Compared scintigraphic findings with 10 patients who had cholecystectomy alone.
Main Results:
- The incidence of DGR was significantly higher in the CDD group (69%) compared to the cholecystectomy alone group (20%).
- Only 15% of patients reported mild dyspeptic symptoms.
- DGR severity correlated with endoscopic gastritis but not with clinical symptoms or histological findings.
Conclusions:
- Choledochoduodenostomy is associated with a high incidence of duodenogastric reflux.
- Despite the high incidence, DGR following CDD does not typically lead to significant clinical symptoms.