[Duodeno-gastric reflux in gallbladder stones and after laparotomic cholecystectomy].
BACKGROUND
Duodeno gastric reflux (DGR) is still a not well-defined condition, even though it has been the subject of different studies for many years.


METHODS
The authors examine its relation with gallstones before and after the surgical removal of the gallbladder. After examining various study techniques, they present their experience of DRG. In this work the methodology used in a group of 40 patients suffering from gallstones and operated by laparotomic cholecystectomy is presented. All patients have been subjected to a clinical questionnaire in order to evaluate their symptoms, before and after cholecystectomy, and at the same time they have been subjected to an endoscopic exam. It s not easy to comment the RESULTS.


RESULTS
Actually, of 32 patients (80%) showing DGR symptoms before surgical treatment, 20 showed their persistence, worsening, or the appearance of new symptoms after cholecystectomy, while 12 were completely asymptomatic. Of 8 patients with no symptoms before cholecystectomy, 3 developed a typical DGR symptomatology while 5 were asymptomatic.


CONCLUSIONS
So 57% of patients were DGR symptomatic after surgical treatment. The compromised function of cholecystitis with calculi, antrum-pyloric-duodenal motility, continuous bile flux in the duodenum, surgical trauma all interact in determining DGR.
Passaro
U
U
Dipartimento di Scienze Chirurgiche e Tecnologie Mediche Applicate, Università degli Studi La Sapienza, Rome, Italy.
Vasapollo
L
L
Carnevale
L
L
Corsini
F
F
Marano
S
S
Piraino
A
A
Tosato
F
F
Paolini
A
A
D001663:Bilirubin / Q000097:blood; D002763:Cholecystectomy; D002769:Cholelithiasis / Q000150:complications* / Q000601:surgery*; D004383:Duodenogastric Reflux / Q000097:blood / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000209:etiology*; D004724:Endoscopy; D006801:Humans; D007813:Laparotomy; D011183:Postoperative Complications; D011877:Radionuclide Imaging
D001663:Bilirubin