What Is The Cause And Treatment For Gastritis?
Question: I am experiencing GERD, bile gastritis and non-ulcerative dyspepsia (burning stomach and epigastrium area pain -very severe) that started approx. 2 months following gallbladder removal. My gallbladder did not have stones or sludge, but GI recommended removal due to low Hida Scan score of 28. I have tried a several courses of treatment including PPI's, and H-2 Blockers, Cholestrymine to bind bile, Urso tablets, and Carafate coating agent. Nothing seems to help, and I get no rest at night. I will be seeing a GI in XXXXXXX on Sept. 30th that specializes in Sphincter of Oddi issues, but not certain that the dyspeptic symptoms and reflux are related. I never had heartburn, acid reflux, or stomach pain prior to gallbladder surgery. My gallbladder surgery was Dec. 12, 2013; I developed a bile leak 3 days later originating from the Ducts of Lueschka. I had an ERCP with stent on 12/17/13, and removal of stent 2/4/14. GERD and all dyspeptic symptoms started about one week after the stent was removed, and hasn't let up since. I have been up to the Mayo Clinic for two weeks of outpatient testing in late XXXXXXX (all tests came back normal). I am just not getting better, and in fact, seem to be getting continually worse. Any other suggestions that might help settle this down, or in time, have you seen these symptoms get better/disappear in other patients with a similar history? I feel like my life is being ruined by this.
Brief Answer:
Need re-exploration
Detailed Answer:
Hi,
Thanks for your query.
The gastritis you have is for sure due to bile reflux which could be secondary to a structural defect. Such structural defect could be resulted as complication of gall bladder surgery one such is a fistula. In such cases no antacid medication can help other than corrective surgeries.
I consider the only way to end these problem is by re-exploratory laprotomy and correcting defects if any.
The laprotomy may have to be preceded by imaging studies like CT scan abdomen and ERCP if necessary.
Do consult the GI and get back to me with his/her opinion. We shall discuss further considering the same.
Wish you good health.
Regards,
Need re-exploration
Detailed Answer:
Hi,
Thanks for your query.
The gastritis you have is for sure due to bile reflux which could be secondary to a structural defect. Such structural defect could be resulted as complication of gall bladder surgery one such is a fistula. In such cases no antacid medication can help other than corrective surgeries.
I consider the only way to end these problem is by re-exploratory laprotomy and correcting defects if any.
The laprotomy may have to be preceded by imaging studies like CT scan abdomen and ERCP if necessary.
Do consult the GI and get back to me with his/her opinion. We shall discuss further considering the same.
Wish you good health.
Regards,
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Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar