Korean J Gastroenterol.  2003 Aug;42(2):96-101.

Prevalence of Erosive Esophagitis in Patients with Subtotal Gastrectomy: Case-Control Study

• Suk KT
• Kim HS
• Kim JM
• Choi YJ
• Baik SK
• Lee DK
• Kwon SO
• Kim DS
• Kim WJ

Abstract

BACKGROUND/AIMS: Enterogastric bile reflux has been implicated as a definite causative factor for the development of postoperative bile reflux gastritis. However, little is known about the role of bile reflux into the stomach in gastro-esophageal reflux disease in patients with subtotal gastrectomy. In this study, we tried to prove that the bile reflux gastritis does increase the development of erosive esophagitis in patients who underwent subtotal gastrectomy. METHODS: From January 1997 to December 2001, 222 patients with previous subtotal gastrectomy were enrolled. We also reviewd the endoscopic findings in 1,633 age and sex-matched healthy controls who had visited our hospital for routine check-up without significant gastrointestinal symptoms. RESULTS: The prevalence of erosive esophagitis is 5% (LA A 2.7%, LA B 2.3%) in gastrectomized patients and 4.9% (LA A 3.2%, LA B 1.7%, LA C 0.0%) in healthy controls. There was no significant difference in the prevalence and the degree of esophagitis between the two groups. CONCLUSIONS: These results suggest that subtotal gastrectomy may not be a risk factor for developing the erosive reflux esophagitis.

Keyword

Esophagitis; Prevalence; Bile reflux; Gastrectomy

MeSH Terms

Aged
Case-Control Studies
Esophagitis, Peptic/*etiology
Female
Gastrectomy/*adverse effects
Humans
Male
Middle Aged
Retrospective Studies
Risk Factors