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Magy Seb. 2007 Oct;60(5):243-7.

[Surgical treatment of duodeno-gastro-esophageal reflux disease: duodenal switch].

[Article in Hungarian]

Author information

1
Pécsi Tudományegyetem Altalános Orvostudományi Kar, Sebészeti Klinika, 7643 Pécs, Ifjúság u. 13. gvarga@iseb.pote.hu

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.

PMID:
17984014
DOI:
10.1556/MaSeb.60.2007.5.3
[Indexed for MEDLINE]

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