Duodenogastric reflux in patients with biliary lithiasis before and after cholecystectomy.
Duodenogastric reflux is quantified in ten patients with biliary lithiasis and a functioning gallbladder, before and six months after performing cholecystectomy. The results are compared with those of a control group (n = 10) with similar age and gender, without gastric or hepatobiliary pathologic factors. To evaluate reflux, we used six hour continuous intravenous infusion and subsequent determination in gastric juice of 99mTc-diethyliminodiacetic acid. Our results showed that patients with cholelithiasis have higher reflux rates than those in the control group (p < 0.001). When comparing patients before and after cholecystectomy, we confirmed that removal of the gallbladder produces a significant increase (p < 0.001) in reflux rates compared with preoperative values.
Lujan-Mompean
J A
JA
Department of General Surgery, University Hospital, University of Murcia, El Palmar, Spain.
Robles-Campos
R
R
Parrilla-Paricio
P
P
Liron-Ruiz
R
R
Torralba-Martinez
J A
JA
Cifuentes-Tebar
J
J
D000328:Adult; D001649:Bile Duct Diseases / Q000150:complications / Q000601:surgery; D002763:Cholecystectomy; D002769:Cholelithiasis / Q000150:complications* / Q000601:surgery*; D004383:Duodenogastric Reflux / Q000175:diagnosis / Q000209:etiology*; D005260:Female; D006801:Humans; D007098:Imino Acids; D008297:Male; D008875:Middle Aged; D015609:Organotechnetium Compounds; D019784:Technetium Tc 99m Diethyl-iminodiacetic Acid
D007098:Imino Acids; D015609:Organotechnetium Compounds; D019784:Technetium Tc 99m Diethyl-iminodiacetic Acid