[Clinical study and gastroscopy of biliary gastritis following gastric resection and Roux-en-Y anastomosis].
Between 1981 and 1985, seven patients (mean age 44 years) underwent surgery for benign gastroduodenal ulcer in the Department of Surgery. Cantonal Hospital, Fribourg, Switzerland. Surgical indications were a double subcardial and prepyloric ulcer recurring after medical treatment, a duodenal and jejunal anastomotic ulcer after gastroenterostomy, two duodenal ulcers which recurred after vagotomy, and three perforated ulcers (subcardial, prepyloric, duodenal). All patients underwent two-thirds gastrectomy with a Roux-en-Y loop. Clinical investigations and gastroscopy were performed 1-5 years postoperatively. Clinical results were excellent in 5 cases (Visick 1), good in one (Visick 2), and moderate in one (Visick 3). Symptoms and signs associated with biliary gastritis were found as follows: vomiting 1 patient; epigastric pain 1 patient; weight loss 1 patient; anemia 1 patient. No bile staining was seen in any patient. Gastric biopsy demonstrated a normal mucosa in 2 patients and gastritis in 5 patients. Roux-en-Y gastrectomy gives satisfactory results in certain benign gastroduodenal ulcer situations. Perianastomotic and gastric stump gastritis may exist without biliary reflux.
Merlini
M
M
Service de chirurgie, Hôpital cantonal, Fribourg.
Chammartin
F
F
Hahnloser
P
P
D000328:Adult; D000713:Anastomosis, Roux-en-Y; D001655:Bile Reflux / Q000175:diagnosis*; D001660:Biliary Tract Diseases / Q000175:diagnosis*; D005260:Female; D005743:Gastrectomy; D005756:Gastritis / Q000175:diagnosis*; D005773:Gastroscopy; D006801:Humans; D008297:Male; D010437:Peptic Ulcer / Q000601:surgery*; D011183:Postoperative Complications / Q000175:diagnosis
Recherche clinique et gastroscopique de gastrite biliaire après résection gastrique et anse en Y de Roux.