Biliary and pancreatic juice has been implicated as a cause of regional inflammation or @entity189 after gastric surgery. We studied 38 @entity1 after gastrectomy using a modification of cholescintigraphy (185 mBq 99m-Tc-DESIDA i.v.). As soon as the tracer had reached the duodenum, a dynamic study (30 min, 120 frames) was started. Thereafter a static image of the epigastrium and thorax in the anterior view with more than 1000 cts/cm2 was recorded. This procedure was repeated after a meal. Of 29 @entity1 without complaints only 4 had a reflux into the jejunal loop. By contrast in 7 of 9 @entity1 with suggestive symptoms this examination demonstrated @entity9098 which reached the oesophagus in 6 cases. A stenosis of the distal oesophagus prevented @entity354 in one @entity1 . 2 @entity1 with @entity354 had a history of @entity850 and @entity354 confirmed by endoscopy. The remaining 2 @entity1 without demonstrable reflux had neither @entity354 nor radiologically verified reflux. Cholescintigraphy as modified by us may detect clinical relevant @entity9098 into the oesophagus. This is important for surgeons selecting @entity1 with potential benefit from a reoperation. Since most @entity1 with complaints after gastrectomy have had demonstrable @entity9098 , reflux-reducing surgical techniques should be used in all.

[Nuclear medicine demonstration of esophageal XXXX ].

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity189 :: ('MESH:D002277', 'Disease') :: ['carcinoma'] @entity9098 :: ('MESH:D001655', 'Disease') :: ['bile reflux'] @entity354 :: ('MESH:D005764', 'Disease') :: ['oesophageal reflux', 'oesophagitis'] @entity850 :: ('MESH:D003251', 'Disease') :: ['oesophageal stenosis']
@entity9098 :: (MESH:D001655,Disease) :: ['bile reflux']
