Enterogastric Reflux (EGR)

2021 ◽  
Author(s):  
Aakriti Mishra ◽  
Mark Ehrhart, MD ◽  
Joanna R. Fair, MD, PhD
Keyword(s):  
Enterogastric Reflux

Enterogastric Reflux: an Uncommon Diagnosis Analyzed by Hepatobiliary Imaging

2019 ◽  
Vol 8 (2) ◽  
Author(s):  
Peter Wang
Keyword(s):  
Abdominal Pain ◽  
Digestive Enzymes ◽  
Gallbladder Disease ◽  
Hepatobiliary Scintigraphy ◽  
Hepatobiliary Imaging ◽  
Upper Gi ◽  
Gi Symptoms ◽  
Upper Abdominal ◽  
Enterogastric Reflux

Enterogastric reflux (EGR) is the reflux of bile and digestive enzymes from the small bowel into the stomach. While it is a normal physiologic process in small amounts, excessive reflux and chronic EGR can cause upper GI symptoms often mimicking more common diseases such as gallbladder disease and GERD that often leads to its underdiagnosis. Identifying EGR is significant as it has been associated with the development of gastroesophogeal pathology including gastritis, esophagitis, ulcers, and mucosal metaplasia. This article presents a 22-year-old male with enterogastric reflux causing upper abdominal pain and will discuss the role of hepatobiliary scintigraphy in its diagnosis.

scholarly journals The effects of Roux-en-Y limb length on gastric emptying and enterogastric reflux in rats

2008 ◽  
Vol 23 (2) ◽  
pp. 179-183 ◽  
Author(s):  
Robson Azevedo Dutra ◽  
Wemberton Martins Araújo ◽  
José Ivan de Andrade
Keyword(s):  
Gastric Emptying ◽  
Wistar Rats ◽  
Limb Length ◽  
Roux Limb ◽  
Short Limb ◽  
Male Wistar Rats ◽  
Group A ◽  
Group B ◽  
Enterogastric Reflux

PURPOSE: To assess the effects of Roux-en-Y jejunal limb length on gastric emptying and enterogastric reflux. METHODS: Seventy male Wistar rats were submitted to antrectomy with Roux-en-Y reconstruction and then were divided into two groups of 35 animals. Group A, short limb (7.5 cm) and Group B, standard limb (15 cm). Group A and B were subdivided into five subgroups each in order to study enterogastric reflux at 30 and 60 minutes and to evaluate gastric emptying at 5, 10 and 15 minutes. In order to measure gastric emptying and enterogastric reflux, radiotracers 99m Tc-Phytate and 99m Tc-DISIDA were respectively used. RESULTS: For gastric emptying, the radiotracer concentration was lower in Group A than in Group B after five minutes. The enterogastric reflux was present, but there were no significant differences between enterogastric reflux indexes concerning both A and B Groups. CONCLUSION: A standard Roux limb, besides being unable to protect the stomach from the enterogastric reflux, may become a functional barrier for gastric emptying.

Long-Term Results of the Cut-Closed-Reconnected Roux Loop for Enterogastric Reflux

2010 ◽  
Vol 27 (3) ◽  
pp. 205-211
Author(s):  
Erik W. Kummer ◽  
Jos J.G.M. Gerritsen ◽  
Joost M. Klaase
Keyword(s):  
Long Term Results ◽  
Enterogastric Reflux

scholarly journals “A New Reconstructive Method after Pancreaticoduodenectomy: the Triple Roux on a “P” Loop. Rationale and Radionuclide Scanning Evaluatlon.”

HPB Surgery ◽  
1996 ◽  
Vol 9 (4) ◽  
pp. 223-227 ◽  
Author(s):  
Gianluigi Pescio ◽  
Erminio Cariati
Keyword(s):  
Pancreatic Fistula ◽  
Bile Ducts ◽  
Alimentary Tract ◽  
Jejunal Loop ◽  
Linear Stapler ◽  
Suggested Model ◽  
Biliary Anastomosis ◽  
Pancreaticojejunal Anastomosis ◽  
Enterogastric Reflux ◽  
Radionuclide Scanning

We propose a method of reconstruction after pancreaticoduodenectomy consisting of a double Roux en Y on the same jejunal loop without interruption of the mesentery and a third anatomical Roux en Y to reconstitute the alimentary tract.The construction of the double Roux en Y draining pancreas and bile ducts separately, requires a linear Stapler 3-4 centimeters from the biliary anastomosis. In this way, by employing the same loop without mesenteric interruption, two functional excluded loops will be ’obtained. The rationale of the suggested model is based on the separation of biliary and pancreatic secretions. This makes it possible to avoid a stagnant cul-de-sac coinciding with the pancreaticojejunal anastomosis and to obtain in the case of leakage, a pure biliary and/or pancreatic fistula as far as is possible.99mTc HIDA scans demonstrated the efficiency, of the biliopancreatic limbs of the reconstruction, showing normal emptying time for the gastric remnant and the absence of radionuclide stagnation or any alkaline enterogastric reflux.

New Scintigraphic Method for the Quantitative Measurement of Enterogastric Reflux

1984 ◽  
Vol 19 (7) ◽  
pp. 947-952 ◽  
Author(s):  
J. B. Svedberg ◽  
P.-Å. Karlqvist ◽  
E. Lindström ◽  
R. Sjödahl
Keyword(s):  
Quantitative Measurement ◽  
Enterogastric Reflux

scholarly journals Enterogastric Reflux in Normal Subjects and Patients with Bilroth II Gastroenterostomy

1979 ◽  
Vol 77 (5) ◽  
pp. 1027-1033 ◽  
Author(s):  
Richard D. Tolin ◽  
Leon S. Malmud ◽  
Fred Stelzer ◽  
Richard Menin ◽  
P. Todd Makler ◽  
...  
Keyword(s):  
Normal Subjects ◽  
Enterogastric Reflux

Enterogastric reflux after various types of antiulcer gastric surgery: Quantitation by 99mTc-HIDA scintigraphy

1991 ◽  
Vol 101 (4) ◽  
pp. 991-998 ◽  
Author(s):  
Evaghelos Xynos ◽  
John S. Vassilakis ◽  
Alexandros Fountos ◽  
George Pechlivanides ◽  
Nikolaus Karkavitsas
Keyword(s):  
Gastric Surgery ◽  
Enterogastric Reflux

Motor patterns of small intestine determined by closely spaced extraluminal transducers and videofluoroscopy

1987 ◽  
Vol 253 (3) ◽  
pp. G259-G267 ◽  
Author(s):  
H. J. Ehrlein ◽  
M. Schemann ◽  
M. L. Siegle
Keyword(s):  
Small Intestine ◽  
Retrograde Transport ◽  
Migrating Motor Complex ◽  
Phase Iii ◽  
Motor Patterns ◽  
Motor Complex ◽  
Enterogastric Reflux ◽  
Propagating Contractions ◽  
Propagation Velocities

In the canine small intestine several simple (S) and complex (C) patterns of propulsive and nonpropulsive activities were found. The nonpropulsive activity consisted of 1) stationary individual contractions (S) and 2) stationary clusters of contractions (C). Patterns leading to aboral propulsion of luminal contents were 1) propagating contractions (S), 2) propagating power contractions (S), 3) phase III of the migrating motor complex (C), and 4) migrating clusters of contractions (C). The propagation velocities of the propulsive motor patterns differed markedly; they increased in the following order: phase III, migrating clustered contractions, propagating power contractions, propagating contractions. A retrograde transport of luminal contents was produced by two different activities: 1) retrograde propagating contractions (S) and 2) retrograde power contractions (S). They were accompanied with enterogastric reflux.

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