【摘要】胆汁返流性胃炎(bile reflux gastritis )也称硷性返流性胃炎是指各种原因引起的十二指肠胆汁液返流至胃内引起胃黏膜的慢性炎症。主要表现为上腹痛、呕吐胆汁、腹胀、体重减轻等一系列表现的综合征，常见于胃切除 胃肠吻合术后，总发病率约5%左右 其中BillrothⅡ式胃切除术后的发病率为BillrothⅠ术式的2～3倍 鉴于其症状 病理变化以及治疗反应与其他胃切除后综合征有所不同，Roberts等将本病从胃切除后并发症中分出、列为一种独立的病症。

    【关键词】胆汁返流胃炎；诊断；治疗

    Bile regurgitation gastritis diagnoses the experience

    HUANGYin

    【Abstract】Bile back-streaming gastritis (bile reflux gastritis) also said that alkalinity back-streaming gastritis is refers to the duodenum bile fluid back-streaming which each kind of reason causes to the stomach to cause the stomach mucous membrane chronic inflammation. Main performance for epigastralgia, vomitive bile, distension of the abdomen, lose weight and so on a series of performance syndrome, common after stomach excision stomach and intestines anastomosis, total disease incidence rate approximately 5% about BillrothⅡAfter the type stomach excision method's disease incidence rate is BillrothⅠTechnique-like 2~3 times in view of the fact that its symptom pathological change as well as the treatment response excises after other stomachs the syndrome differ from, Roberts and so on excises after the stomach in the complication branches out this sickness, lists as one kind of independent illness. ......