P-O02 Management Experiences of Post-gastrectomy Severe Alkaline Reflux Oesophagitis

Abstract Background Alkaline reflux oeosphagitis is a recognized complication of procedures that compromise the lower oesophageal sphincter (LES), including gastrectomy. Incidence dependent on reconstructive procedure with Roux-en-Y esophagojejunostomy commonly accepted as optimal method. The authors report their experience 6 patients who underwent remedial intervention for severe alkaline esophagitis following gastric surgery. Methods A retrospective review had previous and developed symptoms gastroesophageal disease, over 6-year period (2014-2020). Reflux were diagnosed by clinical history, radiology, endoscopy esophageal manometry prior to proceeding surgical control. Post-operative outcomes anti-reflux surgery assessed means serial outpatient assessments endoscopy. Results Six included in this report, 4 males 2 females an average age 73 years (range 58-91). Primary diagnoses encompassed; adenocarcinomas, 1 neuroendocrine tumour patient debilitating antral vascular ectasia (GAVE) syndrome. Four total gastrectomy subtotal reconstruction. Onset post-operative ranged from 2-weeks 3-years. Failing medical management, all jejunojejunal anastomosis Roux limb length revision jejunostomy. At follow up 5 some degree symptom resolution; 3 complete resolution, initial resolution unresolved symptoms. Conclusions Severe oesophagitis compromising LES. our managing revision, majority having improvement if not