This may involve an enlargement of the normal sphincter that leads out of the stomach (pyloroplasty), or creating a connection between the remaining stomach and the small intestine (gastrojejunostomy). Although these methods of improving stomach emptying are very effective, many patients still experience fullness, bloating and acid reflux. In addition, both pyloroplasty and gastrojejunostomy increase the likelihood of bile entering the stomach from the upper intestine, leading to inflammation of the stomach lining (gastritis).
Therapy for gastroparesis includes dietary modification, with patients being advised to eat frequent, small meals rather than large meals. Most patients also require medications. These drugs include cisapride (Propulsid), which may enhance the contractions of the stomach, as well as medications that bind bile acids to prevent injury to the stomach. In rare cases, further surgery may be needed to improve symptoms.
Patients with abdominal pain and heartburn after an operation for an ulcer may also be suffering from recurrent ulcers. Thus, your mother should be seen by her doctor for these complaints, and an endoscopy may be necessary to fully evaluate the remaining portion of her stomach.
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