Barret’s esophagus after gastrectomy: pathogenic value of bile reflux (Clinical case)
Abstract
The aim of presentation of clinical case – to show endoscopically and histologically proved Barret’s esophagus, at the patient after gastrectomy without previous history of gastroesophageal reflux disease.
Features of clinical case. The male patient, 59 years old, 7 years ago underwent gastrectomy for adenocarcinoma of the stomach. Symptoms of bile reflux became dominating, and erosive esophagitis was revealed at esophagogastroduodenoscopy (EGDS) on regular basis. Barret’s esophagus, that was confirmed at present admission to hospital, was suspected at 2008 during EGDS and histological investigation of esophagus. A bitter taste in a mouth, eructation of bile and retrosternal burning essentially decreased at prescription of ursodeoxycholic acid (UDCA), erosions in the esophagus were revealed no more.
Conclusion. The plan of the further management of patient with Barret’s esophagus after gastrectomy is based on a endoscopic control with biopsy of esophageal mucosa and long-term intake of UDCA, along with alginates and antacid drugs.
About the Authors
T. L. LapinaRussian Federation
O. A. Sklyanskaya
Russian Federation
N. N. Napalkova
Russian Federation
I. M. Kartavenko
Russian Federation
Ye. A. Belyatko
Russian Federation
S. D. Podymova
Russian Federation
V. T. Ivashkin
Russian Federation
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Review
For citations:
Lapina T.L., Sklyanskaya O.A., Napalkova N.N., Kartavenko I.M., Belyatko Ye.A., Podymova S.D., Ivashkin V.T. Barret’s esophagus after gastrectomy: pathogenic value of bile reflux (Clinical case). Russian Journal of Gastroenterology, Hepatology, Coloproctology. 2009;19(4):75-78. (In Russ.)
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