Ritchie W P
Department of Surgery, Temple University Hospital, Philadelphia, Pennsylvania.
Gastroenterol Clin North Am. 1994 Jun;23(2):281-94.
Alkaline reflux gastritis is a putative postgastrectomy syndrome presumably caused by excessive reflux of upper gastrointestinal content into the residual stomach after operations for peptic ulcer. In this article, the theoretic basis for the existence of such a syndrome is critically examined and found to be wanting in several respects. The diagnosis is therefore one of exclusion. Most nonoperative therapies are only modestly effective, with the possible exception of feeding patients ursodeoxycholic acid. When operation is indicated, the creation of a long-limb (45-cm) Roux-en-Y eliminates reflux. Unfortunately, symptoms are not invariably alleviated. Complications of operation include marginal ulceration and the Roux stasis syndrome.
碱性反流性胃炎是一种推测的胃切除术后综合征，可能是由于消化性溃疡手术后上消化道内容物过度反流至残胃所致。在本文中，对这种综合征存在的理论基础进行了批判性审视，发现其在几个方面存在不足。因此，诊断是排除性诊断。大多数非手术治疗效果仅一般，熊去氧胆酸喂养患者可能是个例外。当需要手术时，构建一个长肢（45厘米）的Roux-en-Y可消除反流。不幸的是，症状并非总能得到缓解。手术并发症包括边缘溃疡和Roux淤滞综合征。
