TY - JOUR
TI - Gastric emptying time, not enterogastric reflux, is related to symptoms
after upper gastrointestinal/biliary surgery
AU - Stavraka, A
AU - Madan, AK
AU - Frantzides, CT
AU - Apostolopoulos, D and
AU - Vlontzou, E
JO - AMERICAN JOURNAL OF SURGERY
PY - 2002
VL - 184
TODO - 6
SP - 596-599
PB - Excerpta Medica Inc.
SN - 0002-9610
TODO - 10.1016/S0002-9610(02)01104-2
TODO - enterogastric reflux; scintigraphy; stomach; gastrectomy;
cholecystectomy; motility; bile reflux gastritis; gastritis
TODO - Background: It has been suggested that symptoms from bile reflux
gastritis are related to the frequency and degree of enterogastric
reflux (EGR).
Methods: Patients with history of upper gastrointestinal surgery or
cholecystectomy as well as control patients were studied. Presence of
EGR, degree of EGR, and gastric bile emptying time were assessed and
quantified via 99mTC scintillation imaging and then compared between
symptomatic and asymptomatic patients.
Results: Patients with vagotomy and pyloroplasty, Billroth I, Billroth
II, and cholecystectomy demonstrated statistically higher degrees of EGR
compared with controls. Although asymptomatic and symptomatic patients
with a history of upper gastrointestinal or biliary surgery demonstrated
no statistically significant differences between incidence of EGR and
degree of EGR, there was a statistically significant difference in
gastric emptying time.
Conclusions: Delayed gastric emptying time, not frequency or extent of
EGR, was associated with the symptoms of bile reflux in patients who had
previous upper gastrointestinal or biliary operations. (C) 2002 Excerpta
Medica Inc. All rights reserved.
ER -