The first drug treatment should be used, and only if the treatment fails and the symptoms are severe should surgical treatment be considered. Bile reflux gastritis prevention and control measures are mainly: (a) drug therapy: 1, oral gastric power drugs: such drugs can inhibit bile reflux into the stomach, commonly used are: ① morpholine (also known as domperidone). This drug can enhance gastrointestinal motility, regulate the normal activities of the gastrointestinal tract, so that food from the stomach into the small intestine, and inhibit bile reflux, generally 15-30 minutes before meals. Prebios (also known as Cisapride). It is a new generation of gastric power drug, its effect is the same as morpholine, but the effectiveness is 3 to 4 times greater. ③Gastrofluan (also known as methotrexate). It is an older gastric motility drug. Gastrodin: It is an alkaline anion exchange resin that binds to bile salts in the stomach and accelerates their elimination. It is usually effective 1 to 2 weeks after taking the drug, and then the dosage is gradually reduced. Fat-soluble vitamins should be supplemented at the same time. If there is no effect even after 3 months of treatment, it is classified as treatment failure. 2, oral gastric mucosa protective agent: commonly used drugs are: ① thioglycollate aluminum. This drug can complex with the mucin of gastric mucosa to form a protective film to protect the gastric mucosa from bile damage. ②Gastrin. It can form a membrane in the stomach to cover the gastric mucosa to reduce the stimulation of the gastric mucosa by the refluxed bile and gastric acid. ③Similar. It is a protective agent of gastric mucosa, which can strengthen the barrier of digestive tract mucosa and facilitate the regeneration of gastric mucosa. ④Gastric ketone. It can promote the secretion of mucus from the gastric mucosa, thus protecting the gastric mucosa. ⑤Giftedness. Protect the gastric mucosa, promote inflammation healing effect, half an hour before or after meals. 3, diet therapy: diet should be light, do not eat greasy food, so as not to stimulate increased bile secretion, aggravate the reflux and the condition. The actual fact is that you will be able to get a lot more than just a couple of hours to get a lot more. Avoid drinking strong tea, alcohol, strong coffee and eating spicy, cold, hot and rough food. Remove certain aggravating factors including smoking cessation, avoiding emotional stress and not taking drugs that irritate the gastric mucosa, such as aspirin, anti-inflammatory pain, painkillers and pau d’arco. The cause of some bile reflux gastritis is in the biliary system (such as cholelithiasis, cholecystitis and after cholecystectomy); or related to some duodenal diseases (such as pyloric duct or duodenal ulcer, after subtotal gastrectomy surgery, etc.), should also be treated for these diseases to be more effective. (B) Surgical treatment There are basically four types of surgical methods: 1, BillrothI surgery If the original Billroth II gastrectomy is changed to BillrothI, the symptoms of about half of the patients can be improved. 2.Roux-en-Y operation For the original Billroth II operation, the input segment at the anastomosis is cut off and the proximal cut end is anastomosed to the output collaterals. 3.Interjejunostomy For the original Billroth I gastrectomy, a 20-cm-long jejunum is placed in the middle of the gastroduodenal anastomosis, with an efficiency of 75%. 4.Tanner’s operation For the original Billroth II operation, the jejunal input collaterals are cut off, the distal cut end is anastomosed with the jejunal output collaterals to form a loop collaterals, and the proximal cut end is anastomosed to the jejunum 50 cm from the original gastrojejunostomy. In addition to this, vagotomy can be considered to prevent the occurrence of anastomotic ulcers.