胆汁反流性胃炎（Bile reflux gastritis）.docVIP

胆汁反流性胃炎（Bile reflux gastritis） Bile reflux gastritis First, what is bile reflux gastritis? Bile reflux gastritis, also known as alkaline reflux gastritis, bile reflux into the stomach by means caused by abdominal pain, vomiting, abdominal distension, bile weight loss and a series of manifestations of the syndrome, common in gastrointestinal anastomosis after gastrectomy, and the total incidence rate of approximately 5%, of which the incidence of Billroth type gastrectomy the rate of Billroth of operation of 2 ~ 3 times. In view of its symptoms, pathological changes, and treatment response, which are different from other post gastrectomy syndromes, Roberts et al distinguish the disease from the post gastrectomy complication as an independent disorder. Two, symptoms and signs: Most patients complained of epigastric burning pain, pain aggravated after meals, taking basic drugs not alleviate, or see exacerbate instead. A small number of patients may present with a pain in the back of the chest or stomach. Biliary vomiting is a characteristic feature of the disease. As a result of gastric emptying disorders, vomiting occurs at night or during the night. Food can be accompanied by vomiting and occasional small amounts of blood. Because the fear of eating after the symptoms increased, patients reduce appetite, anemia, weight loss, malnutrition and diarrhea can occur. After resection of Gastric Bile reflux gastritis due to bile, pancreatic juice reflux into the gastric remnant mucosa stimulation, cause gastritis. Conclusion the operation of Bi II is higher than that of I. Three, treatment: Should be treated with medication, treatment failure and severe symptoms before considering surgery. [drug therapy] A basic anion exchange resin that combines with bile salts in the stomach and accelerates the elimination of bile salts. Take 4G at least 1 hours after meals and take 1 doses before bedtime. Usually take 1~2 weeks after taking the medicine and then gradually reduce it. Fat s