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REFLUX ALKALINE GASTRITIS

SEUK KY KIM M.D.1, LLOYD S. ROGERS M.D.2, and ROBERT E. HEITZMAN M.D.3

1 Associate Professor of Radiology.
2 Professor of Surgery.
3 Professor of Radiology.

One of the postoperative complications of gastric surgery is the reflux of pancreatic and biliary secretions, causing alkaline gastritis which develops in the presence of hypoacidity or achlorhydria.

The diagnosis is usually made by gastroscopy and biopsy.

Inflammation and/or ulceration occurs on the gastric side of the anastomosis in contrast to marginal ulcers which involve the small intestinal mucosa.

These changes can be observed roentgenographically and the diagnosis of alkaline gastritis should be considered.


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