Evaluation of esophagoduodenal reflux in total gastroresected patients by image

ABSTRACT

A study was carried out 50 patients with stomach cancer received total gastrectomy after 6-12 months of operation, recovered the digestive functions by 2 methods. The evaluation of the esophagoduodenal reflux by scintigraphy. Used 99m Tc-HIDA and gamma-camera found that as a simple, physiological acceptable method and could be used for quantitative analysis. The method of the esophago-intestinal anastomosis type omega after the total gastrectomy can remainly cause the reflux. The method of making the pseudo stomach type lygidakis with distance of 40 cm from the anastomosis stoma Roux -en-Y to the anastomosis stoma of the esophagointestine found that it can prevent the esophagoduodenal reflux. The reflux found that did not occure in all 31 patients who evaluted by scintigraphy.