The research on subtotal resection of bile reflux of residual gastritis between operation helicobacter pylori infection and treatment
ZHU Guo-ling
ZHANG Hai-ling
Abstract：Objective To investigate the relationship among bile reflux of residual gastritis after subtotal resection,helicobacter pylori (Hp)infection and the efficacy of operation treatment.Methods One hundred and forty-three patients of subtotal resection of bile reflux of residual gastritis from January 2008 to June 2011 were selected as the observation group. Fifty-two patients received Billroth Ⅰ operation,meanwhile 91 patients received Billroth Ⅱ operation.Two hundred and thirty-six patients who did not have operations were as the control group.The rapid urease test and modified Giemsa staining method were used for the detection of patients with Helicobacter pylori.Results Hp infection rate in the observation group was lower than that in the control group [ 24.5％(35/143)vs 42.8％ (101/236),P＜0.05].Hp infection rate in Billroth Ⅰ operation patients was slightly lower than that in the Billroth Ⅱ operation patients (P ＞0.05).Bile reflux positive rate in Billroth Ⅰ operation patients was significantly lower than that in the Billroth Ⅱ operation patients [ 51.9％ (27/52 )vs 80.2％ (73/91 ),P＜0.05 ].Hp infection rate in bile reflux patients with positive was significantly lower than that in the bile reflux patients with negative [19.0％ (19/100)vs 37.2％ (16/43),P＜0.05].Conclusions Hp infection is one of the major factors causing residual gastritis.Hp infection reduces significantly in patients bile reflux gastritis after subtotal gastrectomy. Hp infection patients with bile reflux is an effective protective factor.
Keywords：Residual gastritisBile refluxHelicobacter pylori infection
Publication Date：2012-01-01
Online Publishing Date：2026-09-14(First online date of this platform, not the publication date of the document)