Prevention of Reflux Esophagitis after Gastrectomy
Ключевые слова:
gastrectomy, reflux esophagitis, prevention, gastrointestinal reconstruction, esophagus, duodenogastric reflux, antireflux techniquesАннотация
Reflux esophagitis is one of the most common and clinically significant complications after gastrectomy. Its development is associated with the loss of the reservoir and barrier functions of the stomach, disruption of anatomical and physiological antireflux mechanisms, and altered gastrointestinal motility. This condition significantly reduces patients’ quality of life and may lead to erosive and ulcerative lesions of the esophagus. The article discusses modern approaches to the prevention of reflux esophagitis after gastrectomy, including surgical, pharmacological, and dietary methods. Special attention is given to reconstructive surgical techniques aimed at reducing duodenogastroesophageal reflux.
Загрузки
Опубликован
Выпуск
Раздел
Как цитировать
Библиографические ссылки
Schlansky B., Hwang J.H. Gastroesophageal reflux disease after gastric surgery // Gastroenterology Clinics of North America. – 2020. – Vol. 49(3). – P. 497–510.
Kubo M., Sasako M., et al. Postgastrectomy syndromes and reconstruction methods // World Journal of Gastroenterology. – 2018. – Vol. 24(26). – P. 2858–2870.
Deans C., Yeo M. Antireflux reconstruction after total gastrectomy // Annals of Surgery. – 2019. – Vol. 270(2). – P. 312–321.
Nakamura K., Katai H., et al. Roux-en-Y reconstruction and prevention of bile reflux esophagitis // Surgical Oncology. – 2021. – Vol. 37. – P. 101–108.
Fuchs K.H., et al. Functional outcomes after gastrectomy // Digestive Surgery. – 2017. – Vol. 34(4). – P. 243–252.
Japanese Gastric Cancer Association. Guidelines for the treatment of gastric cancer // Gastric Cancer. – 2022. – Vol. 25. – P. 1–25.
Lundell L.R., et al. Mechanisms of bile reflux esophagitis // Gut. – 2016. – Vol. 65(1). – P. 17–25.
