Diagnosis

Endoscopic diagnostic criteria (Fig. 3.42)

► Bile-tinged esophageal secretion

► Previously operated stomach

► Mucosal damage like that seen in peptic reflux esophagitis

Differential diagnosis

► Peptic esophagitis

Checklist for endoscopic evaluation

► Look for bile-tinged secretion

► Evaluate gastroesophageal junction

► Describe mucosal findings

► Determine extent of mucosal findings

► Identify postoperative anatomy

► Outflow obstruction?

Additional Studies

► Gastric juice sample for pH measurement

► Upper gastrointestinal contrast series: Reflux? Obstruction?

Comments

A trial of antacids or sucralfate is recommended. A prokinetic agent should also be administered.

Was this article helpful?

0 0

Post a comment