Clinical value of electronic gastroscope in diagnosis of bile reflux gastritis

VernacularTitle:电子胃镜检查在胆汁反流性胃炎中的诊断价值
Author: Yinzhang WANG
Publication Type:Journal Article
Keywords: Costroscopy; Gastritis
From: Chinese Journal of Primary Medicine and Pharmacy 2009;16(8):1378-1379
CountryChina
Language:Chinese
Abstract: Objective To analyze the cause of bile refluxing into stomach leading to stomach mucous membrane pathological changes and complications.To evaluate the accuracy of electronic gastroscope combining with clinical manifestation in diagnosis of bile reflux gastritis.Methods The extent of the bile refluxing,bile staining on muco sa and other pathological changes were observed by electronic gastroscope.Part of the patients underwent mucosa biopsy.Results Of the ten thousand patients who underwent electronic gastroscope,there were 1433 cases who presentedbile refluxing.The average age is 46.8 years-old,male and female ratio is 0.75 :1.Mucous membrane presented various degrees of erosion,congestion and edema.Part of the cases combined with peptic ulcer,reflux esophagitis or a trophic gastritis.None of them combined with gastric cancer or esophageal cancer.Conclusion Electronic gastroscope can be main means for diagnosis of bile reflux gastritis.If combined with bilirubin in gastral cavity determination,PH value of gastric juice determination and mucosa biopsy,it can be more scientific.