Re: Billroth II type surgery and esophagitis.

[Guest guest]

Hi,

Re: Billroth II type surgery and esophagitis.

The Billroth II type surgery as done in the Mini-Gastric Bypass has been shown

to cure esophagitis (Barrett's) not cause it.

Before surgery many patients have esophagitis and reflux before Mini-Gastric

Bypass surgery (GERD > 60%) and after Mini-Gastric Bypass surgery this resolves

or improves (including several cases of Barrett's)

Here is a nice study demonstrating what we see in the MGB patients:

" Effects of gastric resection by the Billroth II technic on reflux

esophagitis associated with duodenal or pyloric ulcer

Lorusso D, Pezzolla F, Guerra V, Giorgio I

" Although duodenal ulcer and reflux esophagitis may frequently co-exist, it

is not clear whether surgery for duodenal ulcer associated with reflux

esophagitis should not be associated with anti-reflux plastic surgery. "

" The authors make a retrospective evaluation of the prevalence of reflux

esophagitis (endoscopic diagnosis) in a consecutive series of

633 patients undergoing elective gastric resection with a Billroth II for

ulcer during the period 1974-1992 and

assessed the effects of surgery on esophagitis.

In 95% of patients, evaluated endoscopically 6 months after surgery,

Billroth II gastric resection led to the RESOLUTION OR IMPROVEMENT OF

ASSOCIATED ESOPHAGITIS.

The authors conclude that by eliminating the main pathological factors of

reflux esophagitis associated with duodenal ulcer (HYPERSECRETION OF GASTRIC

ACID, impeded gastric emptying) gastric resection is sufficient to achieve

the resolution of esophagitis.

The authors conclude that by eliminating the main pathological factors of

reflux esophagitis associated with duodenal ulcer (HYPERSECRETION OF GASTRIC

ACID, impeded gastric emptying) gastric resection is sufficient to achieve

the resolution of esophagitis.

The authors conclude that by eliminating the main pathological factors of

reflux esophagitis associated with duodenal ulcer (HYPERSECRETION OF GASTRIC

ACID, impeded gastric emptying) gastric resection is sufficient to achieve

the resolution of esophagitis.

RR

Rutledge, M.D., F.A.C.S.

The Center for Laparoscopic Obesity Surgery

4301 Ben lin Blvd.

Durham, N.C. 27704

Telephone #:

Fax #:

Email: DrR@...

************************************************

Please Visit our Web site: http://clos.net

************************************************

Please join the

Mini-Gastric Bypass Community at

http://www.egroups.com/group/MiniGastricBypass

Get the

Mini-Gastric Bypass

Patient Education Manual

( http://www.clos.net/get_patient_manual.htm )