Gastritis in Gastric Remnant Sachiyo Nomura 1 , Ken Haruma 2 1Department of Gastrointestinal Surgery, Graduate School of Medicine, Tokyo University, Tokyo 2Department of General Internal Medicine, Kawasaki Medical School, Kawasaki Hospital, Okayama, Japan Keyword: 残胃 , 残胃炎 , 胆汁逆流 , H. pylori , 残胃癌 pp.87-93
Published Date 2016/1/25
DOI https://doi.org/10.11477/mf.1403200528
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 The causative origins of gastritis in gastric remnants are H. pylori(Helicobacter pylori)infection, duodenal content reflux, or a combination of both factors. It is difficult to identify the cause of gastritis in a gastric remnant with endoscopic observation. The clinical symptoms of gastritis in gastric remnant are usually less severe compared with those speculated by endoscopic gastritis caused by duodenal content reflux. However, gastric cancer sometimes develops in the anastomotic site of a gastric remnant, and duodenal content reflux could be a carcinogenic causative factor.

 The positive rate of H. pylori in the gastric remnant differs depending on the reconstruction method used. The positive rate decreases in stomachs with duodenal content reflux. Recently, reconstruction methods that prevent duodenal content reflux have become popular. For best results, we should choose reconstruction methods that prevent duodenal content reflux and eradicate H. pylori infection.

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