Enterogastric Reflux in Normal Subjects and Patients with Bilroth II Gastroenterostomy

Tolin, Richard D.; Malmud, Leon S.; Stelzer, Fred; Menin, Richard; Makler, P.T.; Applegate, Greg; Fisher, Robert S.

doi:10.1016/s0016-5085(79)80073-6

Cited by 103 publications

(10 citation statements)

References 23 publications

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“…According to the Society of Nuclear Medicine guidelines for hepatobiliary scintigraphy, activity may reflux from the duodenum into the stomach but a marked BR in a symptomatic patient correlates with bile gastritis [12]. Previous scintigraphic studies of healthy unoperated controls by Tolin et al and Mackie et al have shown a BR into the stomach with mean BRi 10 and 8%, respectively [24,25]. Chen et al compared hepatobiliary scintigraphies of patients with a known duodenogastric reflux disease with healthy controls.…”

Section: Resultsmentioning

confidence: 99%

Bile Reflux Scintigraphy After Mini-Gastric Bypass

et al. 2017

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Section: Resultsmentioning

confidence: 99%

Bile Reflux Scintigraphy After Mini-Gastric Bypass

et al. 2017

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“…By placing two region of interest circles around the stomach and liver on the imaging software, an EGR index was calculated by dividing the counts in the stomach from those in the hepatobiliary tree ( Figure 3). Based on their study, there was a statistically significant difference between the amounts of reflux in normal patients compared to EGR patients using the quantitative approach [10]. Some studies have suggested that a reflux index of greater than 20% is considered adequate to diagnose EGR in the correct clinical setting [11].…”

Section: Discussionmentioning

confidence: 99%

Enterogastric Reflux: an Uncommon Diagnosis Analyzed by Hepatobiliary Imaging

Wang

2019

JCRM

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Enterogastric reflux (EGR) is the reflux of bile and digestive enzymes from the small bowel into the stomach. While it is a normal physiologic process in small amounts, excessive reflux and chronic EGR can cause upper GI symptoms often mimicking more common diseases such as gallbladder disease and GERD that often leads to its underdiagnosis. Identifying EGR is significant as it has been associated with the development of gastroesophogeal pathology including gastritis, esophagitis, ulcers, and mucosal metaplasia. This article presents a 22-year-old male with enterogastric reflux causing upper abdominal pain and will discuss the role of hepatobiliary scintigraphy in its diagnosis.

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“…The test was normal in all our patients. morphofunctional radionuclide study: a) 99 mTc HIDA cholescintigraphy 35,36 There was no evidence of bile reflux into the gastric remnant. Scintiscan showed (fig.2,3) the morphology of the reconstruction referring in particular to the linear "TRIPLE ROUX AFTER PANCREATODUODENECTOMY" 225 Stapler (TA55); we observed a delayed transit time through the "P" loop where the tracer was present for 120 minutes after the test.…”

Section: B) Patientsmentioning

confidence: 98%

“A New Reconstructive Method after Pancreaticoduodenectomy: the Triple Rouxon a “P” Loop. Rationale and Radionuclide Scanning Evaluatlon.”

Pescio¹,

Cariati²

1996

HPB Surgery

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We propose a method of reconstruction after pancreaticoduodenectomy consisting of a double Roux en Y on the same jejunal loop without interruption of the mesentery and a third anatomical Roux en Y to reconstitute the alimentary tract. The construction of the double Roux en Y draining pancreas and bile ducts separately, requires a linear Stapler 3-4 centimeters from the biliary anastomosis. In this way, by employing the same loop without mesenteric interruption, two functional excluded loops will be ’obtained. The rationale of the suggested model is based on the separation of biliary and pancreatic secretions. This makes it possible to avoid a stagnant cul-de-sac coinciding with the pancreaticojejunal anastomosis and to obtain in the case of leakage, a pure biliary and/or pancreatic fistula as far as is possible. 99mTc HIDA scans demonstrated the efficiency, of the biliopancreatic limbs of the reconstruction, showing normal emptying time for the gastric remnant and the absence of radionuclide stagnation or any alkaline enterogastric reflux.

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Enterogastric Reflux in Normal Subjects and Patients with Bilroth II Gastroenterostomy

Cited by 103 publications

References 23 publications

Bile Reflux Scintigraphy After Mini-Gastric Bypass

Bile Reflux Scintigraphy After Mini-Gastric Bypass

Enterogastric Reflux: an Uncommon Diagnosis Analyzed by Hepatobiliary Imaging

“A New Reconstructive Method after Pancreaticoduodenectomy: the Triple Rouxon a “P” Loop. Rationale and Radionuclide Scanning Evaluatlon.”

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