The postoperative stomach: a comparative study of double-contrast barium examinations and endoscopy.

The results of double-contrast examinations of Billroth I and Billroth II anastomoses were compared to endoscopic results in 37 patients. Radiographic and endoscopic correlation was present in 32 of the 37 patients (86%). All 22 cases with enlarged perianastomotic folds on the double-contrast examination had endoscopic confirmation. The double-contrast examination provides excellent visualization of the Billroth I and Billroth II anastomosis and adjacent mucosal detail. We advocate its use as the routine examination of the postoperative stomach.