<\/span><\/h2>\n1500-2000 cc of bile is produced daily in the liver. The produced bile flows through the bile ducts to a place (duodenum) 10-12 cm beyond the stomach outlet (pylorus) (See Image 2). The produced bile does not flow directly to the duodenum, there is an intermediate storage and concentration station on this path and the name of this station is the “Gallbladder”. The bile stored concentrated at a 1\/10 ratio in the gallbladder flows into the duodenum in the required amount and at the required time depending on the content of the food we eat, totaling 150-200 cc of concentrated bile per day. Since the place where the bile ducts open to the duodenum is very close to the pylorus, if the pyloric valve does not close sufficiently, some bile may leak back into the stomach. This leakage can be at acceptable limits in everyone, this is called physiological bile reflux. Physiological bile reflux may increase in certain situations but does not cause any permanent damage and complaints and does not require treatment. If the leakage causes permanent damage in the stomach and starts to impair quality of life, we call this condition “Alkaline Reflux Gastritis” disease. “Alkaline Reflux Gastritis” is a disease that needs to be treated. Drug therapy is attempted to reduce complaints. If drug therapy fails, the alternative treatment to be performed is surgery.<\/p>\n
In people who have had their gallbladder removed (cholecystectomy) as a gallbladder operation, the storage function of the gallbladder is eliminated. While bile flow to the duodenum is controlled and 150-200 cc when needed when the gallbladder is present, in cholecystectomy patients, all produced bile flows uncontrollably to the duodenum regardless of need and at approximately 10 times the volume (1500-2000 cc) of those without cholecystectomy. Normally, in some people who do not have “Alkaline Reflux”, alkaline reflux may occur due to the overflow effect of increased bile volume.<\/p>\n
Stones formed in the gallbladder can also trigger alkaline reflux by disrupting gallbladder function.<\/p>\n
With the “Pyloric Revision” method we defined, bile backflow to the stomach is attempted to be minimized.<\/p>\n
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<\/span>What is the Success Rate of Pyloric Revision Treatment in Alkaline Reflux Gastritis Treatment?<\/span><\/h2>\nPyloric Revision treatment is successful in approximately 80% of patients. It has no effect in 20% of patients. In the unsuccessful 20% group, it is evaluated that anatomical structural reasons, previous inflammations (gastritis, ulcer, etc.), and previous intra-abdominal surgeries (especially stomach, duodenum) are effective.<\/p>\n
<\/span>What is the Effectiveness Duration of Pyloric Revision Treatment in Alkaline Reflux Gastritis Treatment?<\/span><\/h2>\nIn our clinical study, during an average follow-up period of 32 months of 328 patients with successful Pyloric Revision procedure, it was observed endoscopically that the effectiveness of the Pyloric Revision procedure performed in 92% of the patients is still continuing and there is no bile backflow.<\/p>\n