The stomach after surgery. An endoscopic perspective

Twenty-five per cent of the authors' total upper endoscopy experience since 1974 has been in patients who have had upper gastrointestinal tract surgery. The observations from 617 examinations in 400 of these patients is reviewed. Pain or nausea and vomiting was a common presenting symptom. Mult...

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Bibliographic Details
Published in:Annals of surgery 1983-06, Vol.197 (6), p.637-644
Main Authors: Bowden, Jr, T A, Hooks, 3rd, V H, Mansberger, Jr, A R
Format: Article
Language:English
Subjects:
Bezoars - diagnosis
Digestive System - diagnostic imaging
Digestive System Surgical Procedures
Endoscopy - methods
Esophagus - diagnostic imaging
Esophagus - surgery
Female
Humans
Male
Middle Aged
Postoperative Care
Radiography
Retrospective Studies
Sutures
Vagotomy, Proximal Gastric
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Summary:Twenty-five per cent of the authors' total upper endoscopy experience since 1974 has been in patients who have had upper gastrointestinal tract surgery. The observations from 617 examinations in 400 of these patients is reviewed. Pain or nausea and vomiting was a common presenting symptom. Multiple complaints were frequent. Gastritis was the most common endoscopic finding present in 127 patients (32%). Biopsy yielded an 89% histologic confirmation of the endoscopic perception. Coexisting mucosal pathology was common, with 39% of the patients having two or more abnormalities. X-ray in 190 patients had only a 30% accuracy rate and a frequent occurrence of false negatives (46%). Bezoars and intraluminal sutures were seen commonly and endoscopy provided a therapeutic choice for enzyme injection of the bezoar and removal of the sutures. Endoscopy provided a method of evaluation of our highly selective vagotomy technique; 96% of our patients with ulceration at the time of surgery were healed by endoscopy and 93% had active antral-pyloric function.
ISSN:0003-4932
1528-1140
DOI:10.1097/00000658-198306000-00001