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Surgical Treatment of Reflux Gastritis and Esophagitis

William R. Coppinger, MD; Henry Job, MD; John E. DeLauro, MD; Lloyd M. Westerbuhr, MD; Frank B. McGlone, MD; Robert G. Phillips, MD
Arch Surg. 1973;106(4):463-468. doi:10.1001/archsurg.1973.01350160081013.
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We have treated 26 cases of reflux gastritis and/or esophagitis by diverting bile and duodenal juices from the stomach by using a Roux-en-Y jejunojejunostomy. Postprandial pain, nausea, and vomiting correlated with characteristic endoscopic findings to establish the diagnosis.

Twenty-four patients had Roux-en-Y revisions of gastric procedures. Two patients with incompetent pyloric sphincters underwent antrectomy, vagotomy, and Roux-en-Y jejunojejunostomy. Pain, nausea, and vomiting were relieved in 23 patients. Two patients were only partially benefited. One death occurred postoperatively. Twelve patients who had marked weight loss regained weight to normal levels.


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