Postoperative reflux gastritis.
The chief clinical features of forty-nine patients with the syndrome of reflux "alkaline" gastritis were epigastric pain, bilious vomiting, anemia, and the dumping syndrome. Separation of the symptoms of this syndrome from the symptoms of a multitude of other postgastrectomy syndromes is difficult, being complicated by a high incidence of emotional instability in these patients. Endoscopy remains the mainstay in diagnosis; among the characteristic endoscopic features are adherent mucus, edema, mucosal friability, and erosions, most severe on the gastric aspect of the stoma. The surgical treatment of choice is Roux-en-Y gastrojejunostomy accompanied by vagectomy.
D000328:Adult; D000368:Aged; D000747:Anemia, Hypochromic / Q000209:etiology; D004377:Dumping Syndrome / Q000209:etiology; D004724:Endoscopy; D005260:Female; D005500:Follow-Up Studies; D005756:Gastritis / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D005763:Gastroenterostomy; D006471:Gastrointestinal Hemorrhage / Q000209:etiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D010146:Pain / Q000209:etiology; D011178:Postgastrectomy Syndromes / Q000175:diagnosis* / Q000601:surgery; D011183:Postoperative Complications / Q000175:diagnosis* / Q000601:surgery; D014628:Vagotomy; D014839:Vomiting / Q000209:etiology