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Gastric emptying time, not enterogastric reflux, is related to symptoms after upper gastrointestinal/biliary surgery

Authors :
Stavraka, Anastasia
Madan, Atul K.
Frantzides, Constantine T.
Apostolopoulos, Dimitris
Vlontzou, Evangelia
Source :
American Journal of Surgery. Dec2002, Vol. 184 Issue 6, p596-599. 4p.
Publication Year :
2002

Abstract

: BackgroundIt has been suggested that symptoms from bile reflux gastritis are related to the frequency and degree of enterogastric reflux (EGR).: MethodsPatients 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.: ResultsPatients 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.: ConclusionsDelayed 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. [Copyright &y& Elsevier]

Details

Language :
English
ISSN :
00029610
Volume :
184
Issue :
6
Database :
Academic Search Index
Journal :
American Journal of Surgery
Publication Type :
Academic Journal
Accession number :
8668989
Full Text :
https://doi.org/10.1016/S0002-9610(02)01104-2