July 1974

Endoscopy in the Evaluation of Patients Following Gastrectomy

Author Affiliations

Augusta, Ga

From the Section of Gastroenterology, Department of Medicine, Medical College of Georgia and Veterans Administration Hospital, Augusta, Ga. Dr. Spainhour's present address: Doctor's Building, 600 Main St, Danville, VA 24541.

Arch Intern Med. 1974;134(1):52-55. doi:10.1001/archinte.1974.00320190054008

Approximately 10% to 30% of patients following gastrectomy develop recurrent or new-symptom complexes. This paper reports our experience with 50 patients after gastrectomy and stresses the importance of endoscopic evaluation in patients with mechanical-pathologic type disorders. Results of endoscopic examination were abnormal in 76%, whereas results of roentgenographic examination were abnormal in 38%. The results strongly suggest that patients with postgastrectomy complaints cannot be considered to have had a thorough work-up until endoscopic examination has been performed. Many times, patients with protracted complaints and normal x-ray films were found to have significant disease when endoscopy was performed.