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Revista do Colégio Brasileiro de Cirurgiões

Print version ISSN 0100-6991On-line version ISSN 1809-4546

Abstract

BASSI, Deomir Germano; PAULA, Pedro Roberto de  and  SPERANZINI, Manlio Basilio. Barrett's esophagus after total gastrectomy with roux-en-Y reconstruction. Rev. Col. Bras. Cir. [online]. 2002, vol.29, n.2, pp.117-118. ISSN 0100-6991.  http://dx.doi.org/10.1590/S0100-69912002000200012.

Reflux esophagitis and Barrett's esophagus after total gastrectomy is related to reconstructive procedure of intestinal continuity. The Roux-en-Y operation with length of limb of 40 cm occasionally is not enough to prevent biliary reflux to distal esophagus. Barrett's esophagus is thought to develop as a consequence of biliary reflux and has a malignant potential. Symptoms of retroesternal burning and dysphagia that does not improve with conservative management has to be treated by an operative procedure. To prevent biliary reflux to distal esophagus after total gastrectomy the lenght of limb of Roux-en-Y should be at lest 60 cm.

Keywords : Barrett's esophagus; Total gastrectomy.

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