The results of the surgical treatment of alkaline reflux gastritis

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dc.contributor.authorTireli M.
dc.date.accessioned2024-07-22T08:19:42Z
dc.date.available2024-07-22T08:19:42Z
dc.date.issued2012
dc.description.abstractBackground/Aims: Alkaline reflux gastritis (ARG) is a major complication of gastric surgery. The symptoms of ARG may be intractable and remedial surgery may be required in this patients. The goal of this study was to present our experience reviewing surgical treatment of reflux gastritis. Methodology: During a 19-year period, we surgically treated 35 patients who had refractory ARG. Previously, gastric surgery was distal gastrectomy-gastrojejunostomy in 20 patients; truncal vagotomy-gastrojejunostomy in 11 and truncal vagotomy-pyloroplasty in 4 patients. Of 20 patients who underwent distal gastrectomy, 13 were treated with Roux-en-Y gastrojejunostomy, six with jejunal segment between the gastric pouch and duodenum (Henley technique) and one with conversion of Billroth II to Billroth I. Of 11 patients who initially underwent vagotomy-gastrojejunostomy, 8 were treated with Billroth II type gastrectomy and Roux-en-Y gastrojejunostomy and 3 with dismantling of a gastrojejunostomy, conversion of pyloroplasty. Four patients who originally underwent vagotomy pyloroplasty were managed with Billroth II type gastrectomy and Roux-en-Y gastrojejunostomy. Results: Mortality rate of this series was zero. Long-term follow-up was obtained in 29 (83.0%) patients. According to Visick criteria, twelve patients (41.4%) reported exellent; ten (34.5%) good; three (10.3%) fair and four (13.8%) unsatisfactory results respectively. Conclusions: Remedial gastric surgery can be indicated in patients who had persistent ARG symptoms despite conservative management. Careful patient selection is essential to achieve best results. © H.G.E. Update Medical Publishing S.A.
dc.identifier.DOI-ID10.5754/hge10388
dc.identifier.issn01726390
dc.identifier.urihttp://akademikarsiv.cbu.edu.tr:4000/handle/123456789/17791
dc.language.isoEnglish
dc.publisherH.G.E. Update Medical Publishing Ltd.
dc.subjectantacid agent
dc.subjectcolestyramine
dc.subjecthistamine H2 receptor antagonist
dc.subjectmetoclopramide
dc.subjectproton pump inhibitor
dc.subjectsucralfate
dc.subjectadult
dc.subjectaged
dc.subjectalkaline reflux gastritis
dc.subjectanemia
dc.subjectarticle
dc.subjectclinical article
dc.subjectdrug treatment failure
dc.subjectduodenum
dc.subjectendoscopy
dc.subjectepigastric pain
dc.subjectfemale
dc.subjectfollow up
dc.subjectgastrectomy
dc.subjectgastrectomy Billroth I
dc.subjectgastrectomy Billroth II
dc.subjectgastritis
dc.subjectgastrojejunostomy
dc.subjecthuman
dc.subjectlong term care
dc.subjectmale
dc.subjectmortality
dc.subjectoutcome assessment
dc.subjectpostoperative period
dc.subjectpriority journal
dc.subjectpyloroplasty
dc.subjectRoux Y anastomosis
dc.subjectstomach biopsy
dc.subjectstomach pouch
dc.subjecttruncus vagotomy
dc.titleThe results of the surgical treatment of alkaline reflux gastritis
dc.typeArticle

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