Bile Reflux in the Esophagus Demonstrated by HIDA Scintigraphy

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Bile reflux into the esophagus after total or subtotal gastrectomy is a common problem. Gastrectomy with Roux-en-Y (RY) gastrojejunostomy is frequently attempted because it is believed to be rarely associated with bile reflux into the remnant stomach or esophagus. However, there have been reports in the literature suggesting that the presence of bile/duodenal fluid in the proximal gastrointestinal tract after RY is not uncommon. We describe a patient, status-posttotal gastrectomy with RY anastomosis, who underwent Tc-99m HIDA scintigraphy, which displayed bile in her esophagus.

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