EVALUATION OF ROUX-EN-Y DIVERSION IN POST-GASTRECTOMY ALKALINE REFLUX GASTRITIS
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Thirty six patients suffering from continuous upper abdominal pain complicating gastric surgery for peptic ulcer disease were diagnosed as alkaline reflux gastritis (ARG). The diagnosis was based on the standard clinical, endoscopic and histopathological criteria of ARG. Thirteen pa tients had previous vagotomy and gastrojejunostomy, 12 had Billroth II gastric reconstruction, 4 had Billroth I gastroduodenostomy, 4 had uagotomy and pyloroplasty and 3 patients had vagotomy and antrectomy. Medical treatment was successful in controlling the symptoms in 24 patients 166.7%) who had mild and moderate ARG, but failed in 12 pa tients (33.3%) with severe incapacitating symptoms. Roux-en-y was the advocated surgical procedure in these 12 patients. The procedure was fol lowed by complete relief of pain as well as marked improvement in the endoscopic and histopathologic evidence of ARG in 100% of cases. Post operative delayed gastric emptying was noted in 3 patients 125%1 but improued ujith conservative treatment.