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      Pre- and Postcholecystectomy Duodenogastric Reflux

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          Abstract

          The purpose of the study was to assess whether cholecystectomy is usually followed by increased duodenogastric reflux and whether there are subsequent changes in the histology of the gastric mucosa and in acid secretion. Eleven patients were submitted, before cholecystectomy and 6 months afterwards, to gastric aspirates, assay of bile acids in the gastric juice and gastroscopy with biopsies from the antral mucosa and the main body. Our results show a significant increase, after cholecystectomy, in the amount of duodenogastric reflux (p < 0.01). However, the total amount of bile acids present in the stomach do not seem to affect the inflammatory injury to the mucosa. Nine times out of eleven there was a reduction of maximal gastric acid output: again, this fact does not seem to be correlated to the amount of bile reflux. The authors conclude that, as already stressed by others, injury to the mucosa is less affected by the amount of bile acids flowing back into the stomach than by other important factors such as the duration of contact, gastric pH, the presence of other constituents in the duodenal juice (lysolecithin) and the type of bile acid that is actually present.

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          Author and article information

          Journal
          DSU
          Dig Surg
          10.1159/issn.0253-4886
          Digestive Surgery
          S. Karger AG
          0253-4886
          1421-9883
          1986
          1986
          05 November 2008
          : 3
          : 4
          : 305-310
          Affiliations
          aDivision of Surgery, bLaboratory of Clinical Chemistry, cDepartment of Digestive Physiopathology, dDepartment of Endoscopy, and eDepartment of Histopathology, Istituto di Ricovero e Cura a Carattere Scientifico, Castellana Grotte, Bari, Italy
          Article
          171752 Dig Surg 1986;3:305–310
          10.1159/000171752
          © 1986 S. Karger AG, Basel

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          Page count
          Pages: 6
          Categories
          Original Paper

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