TITLE

Primary Bile Reflux Gastritis: Which Treatment Is Better, Roux-en-Y or Biliary Diversion?

AUTHOR(S)
Madura, James A.
PUB. DATE
May 2000
SOURCE
American Surgeon;May2000, Vol. 66 Issue 5, p417
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Primary bile reflux gastritis is an unusual and elusive problem. Postgastrectomy bile reflux has been long recognized and treated variously with Roux-en-Y gastrojejunostomy, Braun enteroenterostomy, and Henley jejunal interposition. All of these procedures have been fraught with postoperative side effects, the worst of which is stasis. A new procedure utilizing biliary diversion has been proposed to divert bile from the gastric lumen without vagotomy or gastric resection. This procedure was used for 16 patients with diagnosed bile reflux, and results were compared with those of a previous group of 21 patients who had been treated with Roux-en-Y gastrojejunostomy. The patient groups were similar in age, sex, weight, symptoms, and results of investigative studies. The earlier group all had vagotomy, antrectomy, and gastrojejunal anastomosis to a 45-cm Roux limb. The later group all had an end-to-side choledochojejunostomy to a 45-cm Roux limb, taken 45 cm from the ligament of Treitz. The patients in the bile diversion group had fewer complications and shorter hospital stays. In addition, they had few postoperative complaints, no further operations for either bile reflux or upper gastrointestinal stasis, and no long-term deaths due to gastrointestinal problems or malnutrition. Their eventual postoperative gastric emptying improved significantly when compared with the Roux-en-Y patients, suggesting that the dysmotility observed preoperatively may well have been a result of the bile injury to the stomach, rather than an underlying gastric dysmotility.
ACCESSION #
3086409

 

Related Articles

  • Surgical Application of Kaolin-Impregnated Gauze (Combat Gauze) in Severe Hemorrhagic Gastritis. Sena, Matthew J.; Larson, Steve; Piovesan, Nathen; Vercruysse, Gary // American Surgeon;Jul2010, Vol. 76 Issue 7, p774 

    A letter to the editor is presented about a case of a male patient with severe hemorrhagic gastritis who was treated with direct application of kaolin-impregnated gauze.

  • The end of ulcers. Firshein, Richard // Psychology Today;May/Jun98, Vol. 31 Issue 3, p24 

    Suggests natural remedies for persons with frequent bouts of gastritis and history of ulcers. Information on a finding on the H. pylori bacteria; Suggested herbal remedies.

  • Postoperative Reflux Gastritis: Pathophysiology and Long-Term Outcome After Roux-en-Y Diversion. Malagelada, Juan F.; Phillips, Sidney F.; Shorter, Roy G.; Higgins, John A.; Magrina, Carlos; van Heerden, Jonathan A.; Adson, Martin A. // Annals of Internal Medicine;Aug85, Vol. 103 Issue 2, p178 

    Presents medical cases of sixteen patients with clinical features of postoperative gastritis who had been advised to have a Roux-en-Y diversion. Diagnosis on the patients; Profile of the patients; Treatment administered; Discussion on the results.

  • Mosapride.  // Reactions Weekly;8/11/2012, Issue 1414, p38 

    The article describes the case of a woman in her 70s who developed fulminant hepatitis while receiving mosapride for gastritis and then later died.

  • Pantoprazole.  // Reactions Weekly;6/14/2012, Issue 1410, p32 

    The article describes the case of a 35-year-old woman who developed exfoliative erythrodermia while receiving pantoprazole for gastritis.

  • Goodbye Gastritis, GERD, & Heartburn. VASSIGHI, NAZANIN // Homeopathy Today;Winter2016, Vol. 36 Issue 4, p36 

    The article discusses the use of homeopathy in treating patients with gastritis.

  • Helicobacter pylori and atrophic gastritis: Importance of... Kuipers, Ernst J.; Perez-Perez, Guillermo I. // JNCI: Journal of the National Cancer Institute;12/6/95, Vol. 87 Issue 23, p1777 

    States that infection with Helicobacter pylori is a major risk factor for the development of atrophic gastritis and gastric cancer. Effect of gastritis pylori on all infected individuals; Information on cagA (cytotoxin-associated gene A).

  • Profound acid suppression raises the risk of atrophic gastritis.  // Modern Medicine;Aug96, Vol. 64 Issue 8, p58 

    Presents an abstract of a research titled `Atropic Gastritis and Helicobacter pylori Infection in Patients With Reflux Esophagitis Treated With Omeprazole Or Fundoplication,' by E.J. Kuipers, L. Lundell, E.C. Klinkenberg-Knol, et al, published in the April 18, 1996 issue of `New England Journal...

  • Nutrition Q&A.  // Health (Time Inc.);May2009, Vol. 23 Issue 4, p148 

    The article provides an answer to a question of natural measures to quickly fight bloating.

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics