%0 Journal Article
%T Duodenogastric Reflux after Esophagectomy and Gastric Interposition
%A Naoki Hashimoto
%J Open Access Library Journal
%V 1
%N 6
%P 1-7
%@ 2333-9721
%D 2014
%I Open Access Library
%R 10.4236/oalib.1100912
%X Stomach is considered the ˇ°gold standardˇ± as an esophageal substitute
after esophagectomy. Reflux disease is considered an unavoidable consequence of
esophageal resection followed gastric interposition. Reflux esophagitis shows a
progression from inflammation to erosions and to the development of columnar
lined metaplasia. With the use of a gastric interposition, the most popular
option to reconstruct the esophagus resected for malignant or benign conditions
creates an <i>in vivo</i> model of reflux disease. Gastric interposition is far from ideal as an esophageal substitute. Reflux
esophagitis and new columnar lined metaplasia should be seen as a new complication
of subtotal esophagectomy.
%K Duodenogastric reflux
%K Reflux esophagitis
%K Esophagectomy
%K Gastric interposition
%K Columnar lined metaplasia
%U http://www.oalib.com/paper/3104627