No Barrett's risk in surgery. (Clinical Capsules).The risk for Barrett's esophagus is not increased by gastric surgery for benign peptic ulcer disease Peptic ulcer disease (PUD)A stomach disorder marked by corrosion of the stomach lining due to the acid in the digestive juices. Mentioned in: Indigestion peptic ulcer disease See Duodenal ulcer, Gastric ulcer, GERD. , according to Dr. Benjamin Avidan of the Department of Veterans Affairs Medical Center in Albuquerque and his associates. There was a history of gastric surgery in 4% of 366 patients with long-segment Barrett's esophagus, 4% of 650 patients with short-segment Barrett's esophagus, and 5% in 3,047 unaffected controls. The adjusted odds ratio for a history of gastric surgery in a patient with short-segment Barrett's was 0.9 and the odds ratio for a patient with long-segment disease was 0.7 (Gastroenterology 121[6]:1281-85, 2001). The types of surgery were Billroth I and II gastrectomies and combination vagotomy Vagotomy Definition Vagotomy is the surgical cutting of the vagus nerve to reduce acid secretion in the stomach. Purpose The vagus nerve splits into branches that go to different parts of the stomach. and pyloroplasty. Male gender, white ethnicity, and presence of hiatus hernia hiatus hernia n. See hiatal hernia. Hiatus hernia A protrusion of part of the stomach through the diaphragm to a position next to the esophagus. Mentioned in: Heartburn were significantly associated with an elevated risk for Barrett's, according to findings from a logistic regression analysis. |
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