[Surgical treatment of duodeno-gastro-esophageal reflux disease: duodenal switch].
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| Abstract | AIMS: To evaluate the efficacy of duodenal switch operation for patients with duodeno-gastroesophageal reflux disease. METHODS: Four female patients with therapy resistant epigastric pain and biliary regurgitation were enrolled in the study. In all cases, abnormal duodeno-gastric reflux was confirmed by 24-hour Bilitec monitoring. The average age of the patients was 41.75 years (range 32-53) and three of them had a cholecystectomy in the past. Importantly, all patients had previously undergone fundoplication, which had to be repeated in one of them due to recurrent symptoms. More recently, a duodenal switch procedure was performed in these four patients. Their mean follow-up time was 24.25 months (range 21-30). RESULTS: Duodenal switch was performed without any perioperative complications. A good clinical outcome was found in all patients on their follow up; however, an abnormal acidic exposure was found in one case on 24-hour oesophageal pH monitoring. CONCLUSION: Recurrent epigastric complaints developing after anti-reflux surgery in patients with a previous diagnosis of gastroesophageal reflux disease might be due to an abnormal duodeno-gastric reflux. Previous cholecystectomy may increase the risk of biliary reflux. Duodenal switch procedure can be applied with good results in patients with therapy resistant abnormal duodeno-gastric reflux confirmed with Bilitec monitoring.
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| Authors | Gábor Varga, László Cseke, Katalin Kalmár, Ors Péter Horváth |
| Journal | Magyar sebeszet (Magy Seb) Vol. 60 Issue 5 Pg. 243-7 (Oct 2007) ISSN: 0025-0295 [Print] Hungary |
| Vernacular Title | A duodeno-gastrooesophagealis refluxbetegség sebészi kezelése: duodenal switch mutét. |
| PMID | 17984014 (Publication Type: English Abstract, Journal Article) |
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