Reflux Gastritis after Gastrectomy.
- Author:
Kyung Hyun CHOI
;
Jae Kwan SEO
- Publication Type:Original Article
- Keywords:
Reflux gastritis B-I B-II gastrectomy
- MeSH:
Bile;
Esophagus;
Gastrectomy*;
Gastric Mucosa;
Gastritis*;
Humans;
Mucous Membrane;
Prospective Studies;
Stomach;
Ulcer
- From:Korean Journal of Gastrointestinal Endoscopy
1990;10(1):41-45
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
We studied prospectively on the grade of severity of reflux gastritis after Billroth- I (15 patients and B-II (66 patients) using gastrofiberscopy mostly 3~4 montsh after operations from December 1988 to February.The grade of severity af gastritis was arbitarily defined as follows; Grade 0-almost no reflux of bile and no redness on gastric mucosa. Grade 1-mild redness of the mucosa limited within an inch from anastomotic line. Giade 2-Edema and mucosal redness involves almost one half of remaining gastric mucosa. Grade 3-the above cbanges involves most of remnant gastric mucosa. Gtade 4-in addition to grade 3, friability of mucosa and/or, erosions is noted. Grade 5- ulceraitions of mucosa in addition to the above changes. Using the above defined criteria, we obtained the following results; 1) there was no rieflux gastritis in one patient in B- I group and remainders have varing grades of reflux gastritis, ie; 93% (14/15) (see Table 2). 2) In B- II reconstructed patients, grade 0 was 2 patients and remainder had reflux gastrits, ie; 96% (64/66) (see table 4). 3) Grade 5 patients have ulcerations in the esophagus and grade 2 changes in the stomach.
