April 1973

Surgical Treatment of Reflux Gastritis and Esophagitis

Author Affiliations

From the departments of surgery (Drs. Coppinger, Westerbuhr, and DeLauro) and gastroenterology (Drs. Job, Phillips, and McGlone), the Denver Clinic.

Arch Surg. 1973;106(4):463-468. doi:10.1001/archsurg.1973.01350160081013

We have treated 26 cases of reflux gastritis and/or esophagitis by diverting bile and duodenal juices from the stomach by using a Roux-en-Y jejunojejunostomy. Postprandial pain, nausea, and vomiting correlated with characteristic endoscopic findings to establish the diagnosis.

Twenty-four patients had Roux-en-Y revisions of gastric procedures. Two patients with incompetent pyloric sphincters underwent antrectomy, vagotomy, and Roux-en-Y jejunojejunostomy. Pain, nausea, and vomiting were relieved in 23 patients. Two patients were only partially benefited. One death occurred postoperatively. Twelve patients who had marked weight loss regained weight to normal levels.