[Surgical treatment of duodeno-gastro-esophageal reflux disease: duodenal switch]

Magy Seb. 2007 Oct;60(5):243-7. doi: 10.1556/MaSeb.60.2007.5.3.
[Article in Hu]

Abstract

Aims: To evaluate the efficacy of duodenal switch operation for patients with duodeno-gastroesophageal reflux disease.

Methods: Four female patients with therapy resistant epigastric pain and biliary regurgitation were enrolled in the study. In all cases, abnormal duodeno-gastric reflux was confirmed by 24-hour Bilitec monitoring. The average age of the patients was 41.75 years (range 32-53) and three of them had a cholecystectomy in the past. Importantly, all patients had previously undergone fundoplication, which had to be repeated in one of them due to recurrent symptoms. More recently, a duodenal switch procedure was performed in these four patients. Their mean follow-up time was 24.25 months (range 21-30).

Results: Duodenal switch was performed without any perioperative complications. A good clinical outcome was found in all patients on their follow up; however, an abnormal acidic exposure was found in one case on 24-hour oesophageal pH monitoring.

Conclusion: Recurrent epigastric complaints developing after anti-reflux surgery in patients with a previous diagnosis of gastroesophageal reflux disease might be due to an abnormal duodeno-gastric reflux. Previous cholecystectomy may increase the risk of biliary reflux. Duodenal switch procedure can be applied with good results in patients with therapy resistant abnormal duodeno-gastric reflux confirmed with Bilitec monitoring.

Publication types

  • English Abstract

MeSH terms

  • Adult
  • Digestive System Surgical Procedures* / methods
  • Duodenogastric Reflux / surgery*
  • Female
  • Gastroesophageal Reflux / surgery*
  • Humans
  • Male
  • Middle Aged
  • Retrospective Studies
  • Treatment Outcome