Enterogastric reflux: experimental and clinical aspects
Mosimann, F.
Acta Chirurgica Belgica 87(5): 313-316
1987
ISSN/ISBN: 0001-5458 PMID: 3503456 Document Number: 304998
Reflux gastritis is a controversial topic. On the basis of clinical, experimental and endoscopic data, most authors regard it as a possible sequel of any operation that abolishes antro-pyloric continence; they treat it by a 50 cm Roux-en-Y-loop. However several recent publications have questioned the very existence of this syndrome. Contrary to initial hopes, quantitation of reflux by 99mTc HIDA cholescintigraphy has not settled this debate. Scintigraphy seems to be of limited value in selecting patients likely to be improved by the surgical correction of reflux. In the future, the environment into which reflux occurs should be investigated more thoroughly.