Primary XXXX gastritis: diagnosis and surgical treatment.

@entity1 @entity344 @entity9098 @entity158 @entity717 @entity204 @entity10780 @entity1209
@entity9098 has been recognized since the first successful gastric operations and has persisted for more than a century. Diagnosis has been difficult and non-operative therapy largely ineffective. Early attempts at surgical correction resulted in stomal ulceration and it was not until the advent of flexible endoscopy and other techniques that diagnosis became more secure. Operative attempts at correction have included the Roux-en-Y procedure, the @entity10780 . None of the procedures has been uniformly successful, and the Roux-en-Y has resulted in a @entity717 in most @entity1 . The diagnosis of @entity9098 without previous gastric surgery has been even more elusive and seems to be associated with previous cholecystectomy. Thirty-one @entity1 diagnosed with primary @entity9098 , having typical symptoms of @entity158 , @entity1209 have been treated by diverting bile flow through a Roux-en-Y choledochojejunostomy without accompanying gastric resection or vagotomy. There were no operative @entity204 and no long-term problems, such as anastomotic stricture. Two @entity1 had self-limited bile leaks. Twenty-seven of the 31 @entity1 (87%) have achieved complete relief of symptoms and have no @entity344 . Serial gastric emptying has demonstrated no alteration in 9 of 12 @entity1 who were normal before operation, and improvement in 12 of the 19 (63%) @entity1 with abnormal preoperative studies.
