Impact of Esophageal Bile Exposure on The Genesis of Reflux Esophagitis in The Absence of Gastric Acid After Total Gastrectomy

• DOI: 10.1111/j.1572-0241.2002.05822.x
• Publication Date: 2004-03-26T14:15:01Z
• Authors: Takeyoshi Yumiba; Hisayoshi Kawahara; Kazuhiro Nishikawa; Yoshifumi Inoue; Toshinori Ito; Hikaru Matsuda
• Keywords: Bile reflux; Esophagitis; Reflux esophagitis

The role of duodenal contents refluxing into the esophagus in producing reflux esophagitis (RE) remains unclear. We aimed to assess impact esophageal bile exposure on genesis RE reference pH changes absence gastric acid after total gastrectomy.Thirty patients having undergone gastrectomy were studied with concurrent 24-h and bilimetric monitoring, divided two groups based endoscopic mucosal findings: without RE, group 1 (n = 24) 2 6). Esophageal was defined as bilirubin absorbance >0.14 detected esophagus.1) percentage time not correlated that >7.0, >7.4, >8.0. 2) All parameters for significantly higher than those 1, whereas none >8.0 showed a significant difference between groups. 3) over 50% all subjects six seven had RE.Esophageal plays an important acid, which is assessed better measurement pH.