 |
|
Remedial Operation for Alkaline Reflux Gastritis and Associated Postgastrectomy Syndromes
John L. Sawyers, MD;
J. Lynwood Herrington, Jr, MD;
Glenn S. Buckspan, MD
Arch Surg. 1980;115(4):519-524.
Abstract
• Alkaline reflux gastritis is being recognized with increasing frequency after operations that ablate the pylorus as a true sphincter. Medical management is generally ineffective for patients with severe reflux gastritis, but Roux-en-Y diversion of bile and of pancreatic and intestinal secretions provides gratifying results. We studied 100 patients who underwent remedial operation. Roux-en-Y gastrojejunostomy or Tanner's vs Roux-19 procedure gave good to excellent results in most of the 73 patients followed up for from one to six years. Reflux gastritis can occur in association with other postgastrectomy disorders. Fifteen patients with reflux gastritis also had severe dumping or postvagotomy diarrhea. Good to excellent results were obtained in most of these patients by Roux-en-Y diversion combined with an antiperistaltic jejunal segment.
(Arch Surg 115:519-524, 1980)
Author Affiliations
From the Department of Surgery, Vanderbilt University (Drs Sawyers and Herrington), and Surgical Service, St Thomas Hospital (Dr Buckspan), Nashville, Tenn.
Footnotes
Accepted for publication Dec 3, 1979.
Read before the 87th annual meeting of the Western Surgical Association, Colorado Springs, Colo, Nov 15, 1979.
Reprint requests to St Thomas Hospital, PO Box 380, Nashville, TN 37202 (Dr Sawyers).
 CiteULike  Connotea  Del.icio.us  Digg  Reddit  Technorati
What's this?
THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
Postoperative Reflux Gastritis: Pathophysiology and Long-Term Outcome After Roux-en-Y Diversion
MALAGELADA et al.
ANN INTERN MED 1985;103:178-183.
ABSTRACT
Technical Complications of Roux-en-Y Gastrojejunostomy
Powell et al.
Arch Surg 1983;118:922-925.
ABSTRACT
|
