Esophageal reflux after total or proximal gastrectomy in patients with adenocarcinoma of the gastric cardia

摘要: Objectives: To demonstrate gastroesophageal reflux induced by proximal gastrectomy and to report preventive measures, such as total followed Roux-en-Y esophagojejunostomy. Methods: Thirteen patients underwent (PG), six (TG). Two of the 13 who received PG later completion gastrectomy. All were with endoscopy, radionuclide scintigraphy, 24-h pH monitoring. Results: Endoscopic examination revealed evidence esophagitis in all group patients; however, none TG had esophagitis. Prolonged esophageal transit was observed 11 (10 group, one group). Increased residual fraction found 10 (nine An increase retrograde index 14 cases (11 three Positive enterogastroesophageal identified (eight Twenty-four hour monitoring resulted positives Conclusions: Frequently, will lead significant and, subsequently, varying degrees The clinical symptoms are usually characteristic. However, severity mechanism can be determined only integrated interpretation a study. study should include Although diversion reduce incidence acid reflux, neutral enteroesophageal may during radioactive isotope Fortunately, refluxes rarely cause A avoided adenocarcinoma gastric cardia, except early cancer. Symptomatic palliation relieved medication. is effective method for eradicating unrelenting symptoms.