ASSESSMENT OF DUODENAL SWITCH PROCEDURE AS A TREATMENT OPTION FOR DUODENOGASTRIC REFLUX | ||
| The Egyptian Journal of Surgery | ||
| Article 2, Volume 30, Issue 3, July 2011, Pages 98-103 PDF (533.64 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejsur.2011.367354 | ||
| Authors | ||
| Nasser Zaghloul* 1; Yasser Fouad2 | ||
| 1Department of Surgery, Faculty of Medicine, Minia University, Egypt | ||
| 2Department of Tropical medicine, Faculty of Medicine, Minia University, Egypt | ||
| Abstract | ||
| Aim: Duodenogastric reflux is a common healthy problem and duodenal switch (DS) has been found to be a useful operation for treatment of this abnormal primary and pathologic problem. Objective: Assessment the efficacy of the duodenal switch procedure as a treatment option for primary and pathologic duodenogastric reflux (DGR). Methods: Over a period of 3 years, 6 patients with symptomatic primary DGR and 14 patients with pathologic DGR following gastrojejunostomy underwent pancreaticobiliary diversion using duodenal switch procedure. Endoscopic evaluation of gastric and duodenal mucosa was done before and after surgery. Symptoms were evaluated with a symptom score using a detailed questionnaire. Suprapapillary duodenojejunostomy (duodenal switch procedure) was done in all patients. Results: During a mean follow-up period ranging from 6-34 months with a mean 24 months, most of the patients had a good satisfactory outcome as defined by endoscopic evaluation and significant reduction in the pre-operative symptoms. There was no reoperation or mortality in our study. Conclusion: The duodenal switch procedure is an effective surgical therapy in patients with primary or pathologic or DGR. | ||
| Keywords | ||
| Alkaline reflux; Gastrojejunostomy; Antireflux Surgery | ||
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