Late Results of Patients Undergoing Remedial Operations for Alkaline Reflux Gastritis Syndrome
| Autor: | Sabri Erguney, Yusuf Çiçek, Sinan Carkman, Yılmaz Ersan, Adem Karatas |
|---|---|
| Rok vydání: | 2009 |
| Předmět: |
Adult
Male medicine.medical_specialty Time Factors Biopsy medicine.medical_treatment Gastric Bypass Endoscopy Gastrointestinal Gastro medicine Humans Aged Retrospective Studies Aged 80 and over Gastrostomy Medical treatment business.industry Alkaline reflux gastritis Bile Reflux Anastomosis Roux-en-Y Syndrome General Medicine Middle Aged Late results Surgery Treatment Outcome Early results Gastritis Jejunostomy Female Gastrectomy medicine.symptom Gastroenterostomy business Follow-Up Studies |
| Zdroj: | Acta Chirurgica Belgica. 109:364-370 |
| ISSN: | 0001-5458 |
| DOI: | 10.1080/00015458.2009.11680440 |
| Popis: | Purpose : Many different remedial operations for alkaline reflux gastritis have been described. Analysis of their efficacy is difficult, because while many of the procedures have good early results, there are long-term failures due to their own complications. The aim of this study is to evaluate our experience with patients undergoing remedial oper - ations for alkaline reflux gastritis syndrome. Material and methods : The clinical features and results of remedial operations of 65 patients with alkaline reflux gastritis syndrome were reviewed retrospectively. Data on the hospital course were collected by interviewing patients directly or by telephone contact. An assessment of each patient's response to remedial operation was then made and a Visick score assigned. Results : All patients had been tried on a medical treatment and dietary restriction or both prior to remedial operation. Long-term follow up was possible in 46 patients. Seventy-six percent of patients who at the final state had a truncal vagotomy, distal gestrectomy and Roux-en-Y gastro - jejunostomy have been found to show satisfactory results (Visick-I/Visick II). Three patients who had previously undergone a Roux-en-Y conversion later required re-operation for Roux-stasis syndrome and a near-total gastrectomy was performed on these patients. Other operations performed for alkaline reflux gastritis were converted to "uncut" Roux-en-Y in five patients and dismantling of gastrojejunostomy in two patients. Conclusions : For patients unresponsive to medical treatment, we reccommend the following strategy : a) for patients with truncal vagotomy plus gastrojejunostomy, dismantling of gastrojejunostomy should be the first choice b) for patients with prior Billroth-II gastrectomy, Roux-en-Y conversion is the most effective corrective operation, although it has its proper including Roux statis syndrome. |
| Databáze: | OpenAIRE |
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