Distal gastrectomy and Roux-en-Y reconstruction after failed antireflux operations for recurrent reflux esophagitis: a case report

Esophagus ◽  
2007 ◽  
Vol 4 (3) ◽  
pp. 125-128
Author(s):  
Kazuto Tsuboi ◽  
Nobuo Omura ◽  
Hideyuki Kashiwagi ◽  
Naruo Kawasaki ◽  
Yutaka Suzuki ◽  
...  
Keyword(s):  
Case Report ◽  
Reflux Esophagitis ◽  
Distal Gastrectomy ◽  
Recurrent Reflux ◽  
Antireflux Operations

scholarly journals Utility of hepatobiliary scintigraphy for recurrent reflux cholangitis following choledochojejunostomy: A case report

2018 ◽  
Vol 42 ◽  
pp. 104-108 ◽  
Author(s):  
Masateru Yamamoto ◽  
Hiroyuki Tahara ◽  
Michinori Hamaoka ◽  
Seiichi Shimizu ◽  
Shintaro Kuroda ◽  
...  
Keyword(s):  
Case Report ◽  
Hepatobiliary Scintigraphy ◽  
Recurrent Reflux ◽  
Reflux Cholangitis

scholarly journals Correction of gastrocardial syndrome in patients with hernias of the esophageal orifice of the diaphragm during antireflux operations

2022 ◽  
pp. 62-71
Author(s):  
T. V. Khorobrykh ◽  
A. A. Voevodina ◽  
D. A. Efremov ◽  
V. I. Korotkiy ◽  
N. R. Khusainova ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Angina Pectoris ◽  
Hiatal Hernia ◽  
Reflux Esophagitis ◽  
Antireflux Surgery ◽  
Pain Syndrome ◽  
Ecg Monitoring ◽  
Younger Age ◽  
Before And After ◽  
Antireflux Operations

Introduction. Hernia of the esophageal opening of the diaphragm in 90% of cases is the main cause of the development of reflux esophagitis. The doctrine highlighted a large group of extraesophageal manifestations of reflux esophagitis, including gastrocardiac syndrome.Аim. The purpose of this publication is to evaluate the effectiveness of antireflux surgery in patients with hiatal hernia through the prism of its effectiveness in the dynamics of gastrocardial syndrome regression.Material and мethods. The paper presents the results of diagnostics and surgical treatment of 101 patients with hiatal hernia.Results. According to the data of instrumental research methods, cardiac hernias of the esophageal opening of the diaphragm were detected in 45 (44.5%) patients, cardiofundal in 40 (39.6%), subtotal in 15 (14.8%), total in 1 (0.9%). The main place in the clinical picture of gastrocardial syndrome was occupied by the pain syndrome behind the breastbone (83.1%). Thus, arrhythmias were found in 16 (40.0%) patients with cardiofundal, in 10 (66.6%) subtotal and in 1 (100.0%) total hiatal hernia, and angina pectoris is characteristic of cardiac hernias and was observed in 20 (44.4%) patients. The clinical manifestation of reflex angina pectoris and arrhythmias depended on the degree of shortening of the esophagus. Thus, arrhythmias were more common in patients with cardiofundal (50.0%), subtotal (71.4%), total (100.0%) hiatal hernia with II degree of shortening of the esophagus, and angina pectoris characteristic of cardiac (75.0%) hiatal hernia. with II degree of shortening of the esophagus. Reflex angina is typical for patients of the older age group, and manifestations of arrhythmia are recorded at a younger age. Heart rate variability was considered, according to electrocardiogram and Holter ECG monitoring before and after surgical treatment, where the parameters significantly (p> 0.05) decreased.Conclusions. The phenomena of gastrocardial syndrome regressed after antireflux surgery in 44 (43.5%) patients. Surgical treatment from the endovideosurgical approach did not worsen the results of surgical treatment.

Oral trypsin inhibitor can improve reflux esophagitis after distal gastrectomy concomitant with decreased trypsin activity

2005 ◽  
Vol 190 (3) ◽  
pp. 412-417 ◽  
Author(s):  
Koji Kono ◽  
Akihiro Takahashi ◽  
Hidemitsu Sugai ◽  
Toshiyoshi Umekawa ◽  
Tomoko Yano ◽  
...  
Keyword(s):  
Reflux Esophagitis ◽  
Trypsin Inhibitor ◽  
Distal Gastrectomy ◽  
Trypsin Activity

scholarly journals Roux-en-Y Reconstruction Following Distal Gastrectomy Reduced Endoscopic Reflux Esophagitis in Older Adults: Propensity Score–Matching Analysis

2021 ◽  
Vol 105 (1-3) ◽  
pp. 705-713
Author(s):  
Mikito Inokuchi ◽  
Taichi Ogo ◽  
Shunsuke Kato ◽  
Hiroto Nagano ◽  
Takumi Irie ◽  
...  
Keyword(s):  
Risk Factors ◽  
Older Adults ◽  
Reflux Esophagitis ◽  
Older Patients ◽  
Distal Gastrectomy ◽  
Bile Reflux ◽  
Clinical Findings ◽  
Patients Âgés ◽  
Billroth I ◽  
Reconstruction Methods

Objective This study aimed to examine the functional outcomes of Roux-en-Y (RY) and Billroth I (BI) reconstruction methods following distal gastrectomy in patients ages ≥75 years with gastric cancer. Summary of background data RY and BI reconstructions are commonly performed after distal gastrectomy. However, no study has compared the 2 procedures in older adults. Methods We identified older patients who underwent RY (n = 103) or BI (n = 71) reconstruction following distal gastrectomy from 2011 to 2018 in our database. Patients in the RY and BI groups were matched by propensity scores, and each group included 62 patients. We compared short-term surgical outcomes and clinical findings at 1 year postoperatively. Additionally, risk factors for endoscopic reflux esophagitis following distal gastrectomy were evaluated. Results Reflux esophagitis, bile reflux, and remnant gastritis were significantly less frequent in RY reconstruction than in BI reconstruction. Moreover, both BI reconstruction and preoperative hiatus hernias were independent risk factors for postoperative endoscopic reflux esophagitis. Although the incidence of postoperative surgical complications following RY and BI was similar, RY was found to cause delayed gastric emptying more frequently than BI. Conclusion RY reconstruction is a favorable procedure to prevent reflux esophagitis in older patients, particularly in those with hiatal hernia.

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