Korean J Gastrointest Motil.  1999 Nov;5(2):127-135.

The Association of Postsurgical Gastritis with Duodenogastric Reflux in Patients with Billroth-II Gastrectomy

• Song CW
• Kim KH
• Lee SJ
• Kim HR
• Jeen YT
• Chun HJ
• Um SH
• Kim CD
• Ryu HS
• Hyun JH

Abstract

BACKGROUND/AIMS: It is suggested that postsurgical gastritis is mainly caused by the enterogastric reflux, but the pathogenesis and association with symptoms are not clearly established. The aims of this study were to investigate the role of duodenogastric reflux in postsurgical gastritis and to evaluate the relationship between an intragastric pH study and an intragastric bile reflux study.
METHODS
The 33 patients with Billroth-II gastrectomy and 10 healthy volunteers were enrolled. After the endoscopy, we performed a simultaneous intragastric pH and a bile reflux study.
RESULTS
The symptomatic patients with Billroth-II gastrectomy showed a greater increase in bilirubin reflux than the asymptomatic patients and normal controls. There was a significant association of gastritis with the presence of symptoms, but not with duodenogastric reflux. Intragastric bile reflux(% time> bilirubin absorbance 0.14) was not closely related with intragastric pH(% time> pH 4).
CONCLUSIONS
The duodenogastric reflux was associated with symptoms but not with postsurgical gastritis. There was no close relationship between the intragastric pH study and the intragastric bile reflux study.

Keyword

Alkaline reflux gastritis; Duodenogastric reflux; Gastrectomy; pH monitoring

MeSH Terms

Bile
Bile Reflux
Bilirubin
Duodenogastric Reflux*
Endoscopy
Gastrectomy*
Gastritis*
Healthy Volunteers
Humans
Hydrogen-Ion Concentration
Bilirubin