Bile reflux gastropathy: Prevalence and risk factors after therapeutic biliary interventions: A retrospective cohort study

Othman, Amira A.A.; Dwedar, Amal Az; Elsadek, Hany M.; Abdel-Aziz, Hesham R.; Abdelrahman, Abeer A.

doi:10.1016/j.amsu.2021.103168

Cited by 5 publications

(7 citation statements)

References 19 publications

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“…A retrospective cohort study showed that bile reflux due to a lax pyloric sphincter is significantly associated with gastropathy 5. In our case, gastropathy may have been caused by bile entering the obstructed stomach from a fistulous communication with the CBD.…”

Section: Descriptionmentioning

confidence: 56%

Choledocho-gastric fistula due to chronic peptic ulcer with gastric outlet obstruction and pneumobilia

Muralidhar,

Ajmal,

Anand

et al. 2024

BMJ Case Rep

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Section: Descriptionmentioning

confidence: 56%

Choledocho-gastric fistula due to chronic peptic ulcer with gastric outlet obstruction and pneumobilia

Muralidhar,

Ajmal,

Anand

et al. 2024

BMJ Case Rep

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“…Furthermore, bile acids and lysolecithin dissolve the fatty protective barrier of the gastric mucosa and expose it to hydrochloric acid, leading to gastritis [ 2 , 4 - 5 ]. It typically manifests as abdominal pain, dyspepsia, nausea, bilious vomiting, or heartburn [ 1 , 4 ]. Our patient lacked the above symptoms but had belching and persistent hiccups, which are not described in the literature.…”

Section: Discussionmentioning

confidence: 99%

“…It is commonly seen after procedures that involve manipulation of the biliary tree and pyloric sphincter. A retrospective cohort study found that its prevalence after endoscopic retrograde cholangiopancreatography (ERCP) is over 70%, with higher rates among diabetics and obese patients [ 1 ]. Cholecystectomy may impair duodenal motility from the unrestricted bile flow and lead to duodenogastric reflux [ 2 , 3 ].…”

Section: Introductionmentioning

confidence: 99%

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Persistent Post-endoscopic Retrograde Cholangiopancreatography Hiccups: An Unusual Presentation of Bile Reflux

Zaher¹,

Patel²,

Sigdel³

et al. 2023

Cureus

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Bile reflux is a pathological retrograde flow of bile into the stomach that may lead to gastric overdistension and gastritis. It generally manifests as abdominal pain, nausea, vomiting, or heartburn. Hiccups have thus far not been described as part of its presentation. Here, we describe a case of excessive post-endoscopic retrograde cholangiopancreatography bile accumulation in the stomach that caused persistent hiccups requiring endoscopic suctioning.

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“…DGR is a physiological phenomenon that occurs in the early morning, postprandial periods, and during endoscopy and is also common after cholecystectomy, pyloroplasty, and gastric surgery [2][3][4][5]. Bile reflux gastropathy (BRG) or bile gastropathy (BG) is a pathological condition of DGR [6,7]. BRG accounts for approximately 22.6% of chronic gastritis [8].…”

Section: Introductionmentioning

confidence: 99%

Pyloric Incompetence Associated with Helicobactor pylori Infection and Correlated to the Severity of Atrophic Gastritis

et al. 2022

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Duodenogastric reflux (DGR) causes bile reflux gastritis (BRG) and may develop into gastric cancer. DGR is classified as primary in non-operated stomachs or secondary to surgical intervention. Primary DGR and Helicobacter pylori (H. pylori) infection are reportedly related. However, the mechanism is not fully understood. This study aimed to elucidate the relationship between H. pylori infection and pyloric incompetence in a non-operated stomach. A total of 502 non-operated participants who underwent an upper intestinal endoscopy were prospectively enrolled. Endoscopic findings (EAC, endoscopic atrophy classification; nodular gastritis; xanthoma; fundic gland polyp; and incompetence of pylorus), sex, age, gastrin, pepsinogen (PG) I and PG II levels were evaluated. PG I/PG II ratio, anti-H. pylori-Ab positivity, and atrophic gastritis status were significantly different between the normal and incompetent pylori (p = 0.043, <0.001, and 0.001, respectively). Open-type atrophic gastritis was significantly higher in the incompetent pylori. Incompetence of the pylorus and EAC were moderately correlated (Cramer’s V = 0.25). Multivariate analysis revealed that the presence of anti-H. pylori-Ab was the only independent factor associated with the incompetence of the pylorus, with an adjusted odds ratio of 2.70 (95% CI: 1.47–4.94, p = 0.001). In conclusion, pyloric incompetence was associated with H. pylori infection and moderately correlated to the severity of atrophic gastritis in non-operated stomachs.

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Bile reflux gastropathy: Prevalence and risk factors after therapeutic biliary interventions: A retrospective cohort study

Cited by 5 publications

References 19 publications

Choledocho-gastric fistula due to chronic peptic ulcer with gastric outlet obstruction and pneumobilia

Choledocho-gastric fistula due to chronic peptic ulcer with gastric outlet obstruction and pneumobilia

Persistent Post-endoscopic Retrograde Cholangiopancreatography Hiccups: An Unusual Presentation of Bile Reflux

Pyloric Incompetence Associated with Helicobactor pylori Infection and Correlated to the Severity of Atrophic Gastritis

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