EFFETTI DELLA RESEZIONE GASTRICA SECONDO BILLROTH II SULLA ESOFAGITE DA REFLUSSO ASSOCIATA ALL'ULCERA DUODENALE O PILORICA

Translated title of the contribution: Effects of Billroth II gastric resection on the reflux oesophagitis associated with duodenal or pyloric ulcer

D. Lorusso, F. Pezzolla, V. Guerra, I. Giorgio

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Although duodenal ulcer and reflux esophagitis may frequently co-exist, it is not clear whether surgery for duodenal ulcer associated with reflux esophagitis should not be associated with anti-reflux plastic surgery. The authors make a retrospective evaluation of the prevalence of reflux esophagitis (endoscopic diagnosis) in a consecutive series of 633 patients undergoing elective gastric resection according to Billroth II for duodenal or pyloric ulcer during the period 1974-1992 and assess the effects of surgery on co-existent esophagitis. The prevalence of reflux esophagitis associated with duodenal or pyloric ulcer was 12.3%. In patients in whom stenosis represented the indication for ulcer surgery, the prevalence of esophagitis was 20%, whereas it was 5% in those operated because of failure to respond to medical therapy of hemorrhage (p = 0.000001). In 95% of patients, controlled endoscopically 6 months after surgery, Billroth II gastric resection led to the resolution or improvement of associated esophagitis. The authors conclude that by eliminating the main pathological factors of reflux esophagitis associated with duodenal ulcer (hypersecretion of gastric acid, impeded gastric emptying) gastric resection is sufficient to achieve the resolution of esophagitis.

Original languageItalian
Pages (from-to)493-496
Number of pages4
JournalMinerva Chirurgica
Volume50
Issue number5
Publication statusPublished - 1995

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Gastroenterostomy
Peptic Esophagitis
Esophagitis
Ulcer
Stomach
Duodenal Ulcer
Duodenogastric Reflux
Gastric Emptying
Gastric Acid
Plastic Surgery
Pathologic Constriction
Hemorrhage

ASJC Scopus subject areas

  • Surgery

Cite this

EFFETTI DELLA RESEZIONE GASTRICA SECONDO BILLROTH II SULLA ESOFAGITE DA REFLUSSO ASSOCIATA ALL'ULCERA DUODENALE O PILORICA. / Lorusso, D.; Pezzolla, F.; Guerra, V.; Giorgio, I.

In: Minerva Chirurgica, Vol. 50, No. 5, 1995, p. 493-496.

Research output: Contribution to journalArticle

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