[Value of endoscopy in the diagnosis of postoperative gastritis caused by alkaline reflux].
OBJECTIVE
A long term retrospective study comparing endoscopic lesions and their relationship with symptoms and histological lesions of postoperative Alkaline Reflux Gastritis (ARG) between partial gastrectomy Billroth II (n = 25) and the Roux-en-Y (n = 36) is presented.


METHODS
In patients operated on with both techniques the clinical, endoscopic and histological aspects are studied.


RESULTS
The patients operated on with the Billroth II technique present a higher frequency of bile in the gastric remnant and mucosal lesions in the endoscopic study (p < 0.001) compared with the Roux-en-Y group. Bile and mucosal lesions on the gastric stump are more common with symptoms and histological lesions of postoperative ARG.


CONCLUSIONS
The endoscopic evaluation is a valid and reliable examination in the diagnosis and follow up of postoperative ARG.
Martínez Castro
R
R
Hospital Virgen de los Lirios, Alcoy, Alicante.
Pérez-Mateo Regadera
M
M
Baltasar Torrejón
A
A
Martínez Egea
A
A
Sánchez Cuenca
J
J
Laforga
J
J
Marcote
E
E
D000328:Adult; D000368:Aged; D004383:Duodenogastric Reflux / Q000150:complications*; D005260:Female; D005500:Follow-Up Studies; D005743:Gastrectomy / Q000009:adverse effects* / Q000379:methods; D005756:Gastritis / Q000175:diagnosis* / Q000209:etiology; D005773:Gastroscopy; D006801:Humans; D006863:Hydrogen-Ion Concentration; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies
Valor de la endoscopia en el diagnóstico de la gastritis postoperatoria por reflujo alcalino.