PMID: 752607Jan 1, 1978Paper

Reflux and prevention of reflux in the resected stomach

Chirurgisches Forum für experimentelle und klinische Forschung
V SchumpelickA Garbrecht

Abstract

1. After gastrectomy or vogotomy with pyloroplasty the reflux of bile acids and lysolecithin increased. 2. The highest values of reflux were observed in the retrocolic (short loop) B-II anastomosis. The different types of B-I antrectomy and the antecolic B-II with Braun's enterostomy have each the same reflux, which is significantly lower than the retrocolic B-II. Even these types of gastrectomy have 6 - 10-fold elevated reflux values compared to the controls. After vagotomy with pyloroplasty the reflux was reduced to two or three times normal. After selective proximal vagotomy without pyloroplasty no reflux was observed. 3. After an isoperistaltic jejunal transportation, the reflux was reduced, the reduction depending on the length of the transposed segment. The same result was obtained with a ROUX-en-Y-gastro-enterostomy. 4. After hemigastrectomy and isoperistaltic transposition of 25 cm of jejunum, more reflux could be observed under experimental and clinical conditions.

Related Concepts

Related Feeds

Atrophic Gastritis

Atrophic Gastritis is a process where gastric glandular cells are lost and replaced with firbous tissues, as a result of chronic inflammation. Learn more about Atrophic Gastritis here.

Related Papers

Deutsche medizinische Wochenschrift
V Schumpelick, F Begemann
Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen
V SchumpelickW Lauchart
Langenbecks Archiv für Chirurgie
V SchumpelickG Kessler
Scandinavian Journal of Gastroenterology. Supplement
V SchumpelickH W Schreiber
© 2021 Meta ULC. All rights reserved