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. 1983 Jun;197(6):637–644. doi: 10.1097/00000658-198306000-00001

The stomach after surgery. An endoscopic perspective.

T A Bowden Jr, V H Hooks 3rd, A R Mansberger Jr
PMCID: PMC1352881  PMID: 6859976

Abstract

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.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Cotton P. B., Rosenberg M. T., Axon A. T., Davis M., Pierce J. W., Price A. B., Stevenson G. W., Waldram R. Diagnostic yield of fibre-optic endoscopy in the operated stomach. Br J Surg. 1973 Aug;60(8):629–632. doi: 10.1002/bjs.1800600813. [DOI] [PubMed] [Google Scholar]
  2. Davis R. C., Jr, Faruqui A. M. Endoscopic enzymatic dissolution. Nonsurgical therapy for gastric phytobezoars. JAMA. 1974 Sep 2;229(10):1332–1333. doi: 10.1001/jama.229.10.1332. [DOI] [PubMed] [Google Scholar]
  3. Goligher J. C., Pulvertaft C. N., De Dombal F. T., Conyers J. H., Duthie H. L., Feather D. B., Latchmore A. J., Shoesmith J. H., Smiddy F. G., Willson-Pepper J. Five to eight-year results of Leeds-York controlled trial of elective surgery for duodenal ulcer. Br Med J. 1968 Jun 29;2(5608):781–787. doi: 10.1136/bmj.2.5608.781. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. HIRSCHOWITZ B. I., CURTISS L. E., PETERS C. W., POLLARD H. M. Demonstration of a new gastroscope, the fiberscope. Gastroenterology. 1958 Jul;35(1):50–53. [PubMed] [Google Scholar]
  5. Hedemand N., Kruse A., Madsen E. H., Mathiasen M. S. X-ray examination of endoscopy? A blind prospective study including barium meal, double contrast examiniation, and endoscopy of esophagus, stomach, and duodenum. Gastrointest Radiol. 1977 May 25;1(4):331–334. [PubMed] [Google Scholar]
  6. Hirschowitz B. I., Luketic G. C. Endoscopy in the post-gastrectomy patient. An analysis of 580 patients. Gastrointest Endosc. 1971 Aug;18(1):27–30. doi: 10.1016/s0016-5107(71)74015-2. [DOI] [PubMed] [Google Scholar]
  7. Johnston D. H. A biopsy study of the gastric mucosa in postoperative patients with and without marginal ulcer. Am J Gastroenterol. 1966 Aug;46(2):103–118. [PubMed] [Google Scholar]
  8. Kennedy T. The failures of gastric surgery. Br J Surg. 1981 Oct;68(10):677–677. doi: 10.1002/bjs.1800681002. [DOI] [PubMed] [Google Scholar]
  9. Knutson C. O., Max M. H., Ahmad W., Polk H. C., Jr Should flexible fiberoptic endoscopy replace barium contrast study of the upper gastrointestinal tract? Surgery. 1978 Nov;84(5):609–615. [PubMed] [Google Scholar]
  10. LEES F., GRANDJEAN L. C. The gastric and jejunal mucosae in healthy patients with partial gastrectomy. AMA Arch Intern Med. 1958 May;101(5):943–951. doi: 10.1001/archinte.1958.00260170099013. [DOI] [PubMed] [Google Scholar]
  11. Max M. H., West B., Knutson C. O. Evaluation of postoperative gastroduodenal symptoms: endoscopy or upper gastrointestinal roentgenography? Surgery. 1979 Oct;86(4):578–582. [PubMed] [Google Scholar]
  12. Spainhour J. B., Webster P. D. Endoscopy in the evaluation of patients following gastrectomy. Arch Intern Med. 1974 Jul;134(1):52–55. [PubMed] [Google Scholar]
  13. Stempien S. J., Dagradi A. E., Tan D. T. Endoscopic aspects of the gastric mucosa ten years or more after vagotomy-pyloroplasty. Gastrointest Endosc. 1971 Aug;18(1):21–22. doi: 10.1016/s0016-5107(71)74013-9. [DOI] [PubMed] [Google Scholar]

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