title: Alkaline reflux esophagitis after total gastrectomy.
abstract: Esophagoduodenostomy and loop esophagojejunostomy with or without enteroenterostomy may not be the optimal reconstructive procedures after total gastrectomy because of esophagitis and dumping. More effective esophagointestinal anastomoses have been described [1,3,4,8,9,12]. We have had good success using a Roux-en-Y esophagojejunostomy with and without a jejunal pouch after total gastrectomy for the Zollinger-Ellison syndrome and agree that a jejunal pouch associated with Roux-en-Y esophagojejunostomy as described by Hunt and Lawrence is an excellent reconstructive procedure [1,13]. Several reports using this type of procedure have emphasized the absence of alkaline reflux esophagitis and the ability of their patients to maintain ideal weight [1,2,8].
mesh_terms: D000328:Adult; D004941:Esophagitis / Q000209:etiology*; D004947:Esophagus / Q000601:surgery; D005260:Female; D005764:Gastroesophageal Reflux / Q000209:etiology*; D006356:Heartburn / Q000150:complications; D006801:Humans; D007583:Jejunum / Q000601:surgery; D008297:Male; D008875:Middle Aged; D011178:Postgastrectomy Syndromes; D011183:Postoperative Complications; D011708:Pylorus / Q000601:surgery; D014628:Vagotomy; D015043:Zollinger-Ellison Syndrome / Q000601:surgery*