Patients who have had stomach surgery see, for example, Bi II style surgery, which alters the normal gastrointestinal passage so that bile must pass through the stomach before draining into the intestines; it may also be because the pyloric portion of the body has been surgically removed, and bile can easily reflux into the stomach through a loose anastomosis. This can usually be treated with dietary modifications and medications.
For bile reflux caused by gastric surgery, due to the change of anatomical structure, it is impossible to carry out a radical cure at present, and can only be controlled by diet and medication.
1. Dietary regulation: adjust the diet structure, change eating habits, avoid eating a lot of fat, high cholesterol food, quit smoking and drinking, reduce spicy and stimulating food intake, avoid carbonated gas-producing beverages intake. When resting, pay attention to the position of the body to take the head high and feet low position, reduce strenuous exercise, avoid lying down immediately after meals.
2. Drug therapy: you can use drugs that complex bile acid such as magnesium aluminum carbonate, etc., inhibit gastric acid secretion drug omeprazole, etc., promote gastrointestinal dynamics of drugs such as mosapride, itopride, etc., gastric mucosal protectant teprenone, etc..
If the patient’s bile reflux after gastrointestinal anastomosis, it is recommended to go to the hospital in time, and actively cooperate with the doctor for treatment.