A Case Recovered from Severe Reflex Esophagitis after Distal Gastrectomy (Billroth-I Reconstruction) by Changing into Roux-en-Y Reconstruction

Abstract

The patient was a 71-year-old male. He underwent distal gastrectomy (Billroth-I) for early gastric cancer. After the operation, he was troubled with severe reflex esophagitis. Eighteen months later, for common bile duct stones and gallstones, he had second operation. In order to relieve reflex esophagitis, we changed the route of reconstruction from Billroth-I to Roux-en-Y.
After the second operation, he has recovered from reflex esophagitis almost completely. The simultaneous pH monitoring in lower esophagus and remnant stomach was useful for understanding the pathophysiology and grade of reflex esophagitis.