INTRODUCTION: Reinfection by Helicobacter pylori of the gastric remnant after partial gastrectomy has been implicated in the development of gastric cancer at the gastric stump. OBJECTIVE: The aim of this study is to determine the rate of infection by H. pylori after partial gastrectomy and Roux-en-Y anastomosis for benign disease. MATERIALS AND METHODS: A total of 79 patients with long segment Barrett's esophagus were submitted to vagotomy, anti-reflux surgery, two thirds distal gastrectomy, and Roux-en-Y anastomosis 70 cm long. In all preoperative biopsy samples were taken from the antrum. After surgery, four endoscopic studies were performed in different periods of time. Mean follow-up was 98 months after operation (60-240). RESULTS: Three groups of patients were identified: (a) group 1, 43 patients (54%) who had no preoperative infection by H. pylori and remained so late after surgery; (b) group 2, 21 patients (27%) who had no preoperative infection by H. pylori but presented infection of the gastric remnant that increased parallel to the length of follow-up; (c) group 3, 15 patients (19%) who presented infection by H. pylori before surgery. From them, 11 showed reinfection of the gastric remnant, while four patients had no reinfection. CONCLUSION: After partial gastrectomy and Roux-en-Y anastomosis for benign disease, there are three different patterns of behavior regarding reinfection or not by H. pylori. A total of 41% of patients presented H. pylori reinfection at the gastric remnant after Roux-en-Y anastomosis, which increased parallel to the length of follow-up.
INTRODUCTION: Reinfection by Helicobacter pylori of the gastric remnant after partial gastrectomy has been implicated in the development of gastric cancer at the gastric stump. OBJECTIVE: The aim of this study is to determine the rate of infection by H. pylori after partial gastrectomy and Roux-en-Y anastomosis for benign disease. MATERIALS AND METHODS: A total of 79 patients with long segment Barrett's esophagus were submitted to vagotomy, anti-reflux surgery, two thirds distal gastrectomy, and Roux-en-Y anastomosis 70 cm long. In all preoperative biopsy samples were taken from the antrum. After surgery, four endoscopic studies were performed in different periods of time. Mean follow-up was 98 months after operation (60-240). RESULTS: Three groups of patients were identified: (a) group 1, 43 patients (54%) who had no preoperative infection by H. pylori and remained so late after surgery; (b) group 2, 21 patients (27%) who had no preoperative infection by H. pylori but presented infection of the gastric remnant that increased parallel to the length of follow-up; (c) group 3, 15 patients (19%) who presented infection by H. pylori before surgery. From them, 11 showed reinfection of the gastric remnant, while four patients had no reinfection. CONCLUSION: After partial gastrectomy and Roux-en-Y anastomosis for benign disease, there are three different patterns of behavior regarding reinfection or not by H. pylori. A total of 41% of patients presented H. pylori reinfection at the gastric remnant after Roux-en-Y anastomosis, which increased parallel to the length of follow-up.
Authors: A Seoane; X Bessa; F Alameda; A Munné; M Gallen; S Navarro; E O'Callaghan; A Panadès; M Andreu; F Bory Journal: Rev Esp Enferm Dig Date: 2005-11 Impact factor: 2.086
Authors: Attila Csendes; Italo Bragheto; Patricio Burdiles; Gladys Smok; Ana Henriquez; Francisco Parada Journal: Surgery Date: 2006-01 Impact factor: 3.982
Authors: Kichul Yoon; Nayoung Kim; Jaeyeon Kim; Jung Won Lee; Hye Seung Lee; Jong-Chan Lee; Hyuk Yoon; Cheol Min Shin; Young Soo Park; Sang-Hoon Ahn; Do Joong Park; Hyung Ho Kim; Yoon Jin Lee; Kyoung-Ho Lee; Young-Hoon Kim; Dong Ho Lee Journal: Gut Liver Date: 2017-03-15 Impact factor: 4.519