Gastroesophageal reflux after distal gastrectomy: possible significance of the angle of His

The American Journal of Gastroenterology
Y FujiwaraJ Utsunomiya

Abstract

We investigated whether the angle of His influences gastroesophageal reflux after distal gastrectomy. Thirty-eight patients having distal gastrectomy and 10 controls underwent upper gastroesophageal fluoroscopy to measure the angle of His, and gastroesophageal reflux was assessed by scintigraphy. The association between scintigraphic reflux and the angle of His was then evaluated. In distal gastrectomy patients with and without reflux symptoms, the angle was 108.82 +/- 21.88 degrees and 96.07 +/- 13.25 degrees, respectively; it was 74.14 +/- 10.85 degrees in the controls. The angle was significantly larger in the patients than in the controls (p < 0.01). In addition, the angle in the symptomatic gastrectomy group tended to be larger than in the asymptomatic group. The angle was also significantly larger in patients with a scintigraphic reflux index > or =6% than in those with an index <6% (p < 0.05). These findings suggest that the angle of His plays a role in reflux after distal gastrectomy and that the severity of reflux may be estimated by measuring this angle.

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Citations

Jul 11, 2006·Journal of Gastroenterology and Hepatology·Yoshinori FujiwaraTakehira Yamamura
Mar 25, 2005·Neurogastroenterology and Motility : the Official Journal of the European Gastrointestinal Motility Society·R K Mittal, J Liu
Mar 5, 2015·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Mohammad Ali Kalantar MotamediMohammad Reza Kalantar Motamedi
Jul 22, 2016·Surgical Endoscopy·Christopher CrawfordDmitry Oleynikov
Jan 13, 2000·Diseases of the Esophagus : Official Journal of the International Society for Diseases of the Esophagus·S J WalkerN Birbeck
Aug 12, 2014·World Journal of Gastroenterology : WJG·Heng-Lei DongXi-Shan Hao
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Oct 28, 2016·Annals of the New York Academy of Sciences·Martina Scharitzer, Peter Pokieser
Sep 24, 2004·Alimentary Pharmacology & Therapeutics·C GordonJ D Maxwell
May 29, 2018·Case Reports in Gastroenterology·Yuya Kobayashi, Jun Tsuyuzaki

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