Digestive Disorders / Gastroenterology Expert Forum
Biliary Gastritis
About This Forum:

This is a place to ask questions about digestive problems and receive a personal answer from a highly qualified doctor. You will also find support from other members who share your interest in digestive disorders. Digestive Disorders include: Anal and Rectal problems, Barrett’s Esophagus, Bleeding in the Stomach and Digestive Tract, Constipation, Crohn’s Disease, Gastritis, GERD, Heartburn, Proctitis, Short Bowel Syndrome, Ulcers, Whipple’s Disease, Zollinger-Ellison Syndrome (and many more).

Font Size:
A
A
A
Background:
Blank
Blank
Blank
This expert forum is not accepting new questions. Please post your question in one of our medical support communities.
Blank Blank

Biliary Gastritis

  After much testing (endoscopy & biopsies), it was determined
  that I have biliary gastritis.  I continue with Cimetidine as
  most drugs disagree (arthralgias) or are less effective
  (Pantoloc, Losec).
  What are the long-term implications of biliary gastritis? I
  dislike taking meds all the time and the specialists hesitate
  to proceed with a rou-en-y procedure (spelling?) because of
  the implications of such a procedure.  
  Could long-term biliary gastritis lead to stomach cancer? On a
  less-serious scale, how good is food absorption if on long-term
  H2 antagonists?
  Thanks!
Dear **,
The term "biliary gastritis" implies duodenogastric reflux causing bile to reflux back into the stomach and damage the lining. This clinical condition is usually a problem after surgery to remove the stomach (gastrectomy) and after drainage procedures for peptic ulcer disease. Surgery disrupts the normal anatomy so that bile in the small intestine can now  reflux back into the stomach. You did not mention whether or not you have  had such an operation in the past. Bile is an alkaline solution, therefore treatment with acid blockers would not be of benefit. On the other hand, if cimetidine is helping you, it is a fairly well tolerated drug with few side effects. The fact that cimetidine is helping may question the diagnosis of  alkaline reflux biliary gastritis. Treatment for alkaline reflux symptoms with bile acid binding agents (such as cholestyramine) or sucralfate (Carafate) may help some patients but is not uniformly successful. Severe cases of alkaline reflux gastritis require a Roux-en-Y gastojejunostomy to divert the bile from the area of the stomach. I hope you find this information helpful.
This response is being provided for general informational purposes only and should not be considered medical advice or consultation. Always check with your personal physician when you have a question pertaining to your health.
If you would like to be seen at our institution please call 1-800-653-6568, our Referring Physicians
Related Discussions
Continue discussion Blank
This Forum's Experts
351246_tn?1379685732
Dr. Kokil MathurBlank
Consultant
,
MedHelp Health Answers
Blank
Weight Tracker
Weight Tracker
Start Tracking Now
RSS Expert Activity
233488_tn?1310696703
Blank
New Cannabis Article from NORTH Mag...
Jul 20 by John C Hagan III, MD, FACS, FAAOBlank
242532_tn?1269553979
Blank
3 Reasons Why You are Still Binge E...
Jul 14 by Roger Gould, M.D.Blank
242532_tn?1269553979
Blank
Emotional Eating: What Your Closet ...
Jul 09 by Roger Gould, M.D.Blank