Endoscopic diagnostic criteria (Fig. 3.42)
► Bile-tinged esophageal secretion
► Previously operated stomach
► Mucosal damage like that seen in peptic reflux esophagitis
► 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?
► Gastric juice sample for pH measurement
► Upper gastrointestinal contrast series: Reflux? Obstruction?
A trial of antacids or sucralfate is recommended. A prokinetic agent should also be administered.
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