Incidence and Risk Factors of Reflux Esophagitis after a Subtotal Gastrectomy / 대한소화기내시경학회지
Korean Journal of Gastrointestinal Endoscopy
;
: 243-252, 2008.
Article
in Korean
| WPRIM
| ID: wpr-39338
ABSTRACT
BACKGROUND/AIMS:
The aims of this study were to evaluate the incidence of reflux esophagitis in patients after a subtotal gastrectomy and to determine risk factors for reflux esophagitis.METHODS:
Among 225 patients who underwent a subtotal gastrectomy from June 2003 to December 2004 at Seoul National University Bundang Hospital, 201 patients who received follow-up for more than six months and underwent at least one endoscpoic examination were retrospectively reviewed. We used the Los Angeles (LA) classification system and included a minimal change for reflux esophagitis.RESULTS:
There were 173 patients who underwent a Billroth I procedure and 28 patients who underwent a Billroth II procedure. The cumulative incidence of reflux esophagitis was 40.8%. A patient age > or =65 years (p=0.04), a follow-up duration > or =40 months (p=0.03), bile reflux gastritis (p or =4 (p=0.012), bile reflux gastritis (p=0.002) and postoperative obesity (p=0.038) were risk factors for a minimal change. A patient age > or =65 years (p=0.04), a follow-up duration > or =40 months (p=0.03) and Helicobacter pylori eradication before surgery (p<0.01) were independent risk factors for LA grade A/B reflux esophagitis.CONCLUSIONS:
Bile reflux gastritis is a risk factor for the development of reflux esophagitis after a subtotal gastrectomy. Preoperative helicobacter eradication is also associated with reflux esophagitis, except for a minimal change, but further studies are needed.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Gastroenterostomy
/
Esophagitis, Peptic
/
Los Angeles
/
Incidence
/
Retrospective Studies
/
Risk Factors
/
Follow-Up Studies
/
Helicobacter pylori
/
Helicobacter
/
Bile Reflux
Type of study:
Etiology study
/
Incidence study
/
Observational study
/
Prognostic study
/
Risk factors
Limits:
Humans
Country/Region as subject:
North America
Language:
Korean
Journal:
Korean Journal of Gastrointestinal Endoscopy
Year:
2008
Type:
Article
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