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Twenty-two to thirty years later, gastroscopy and biopsy was performed in 196 of 423 survivors. Chronic atrophic gastritis appeared in 93 per cent of the cases, 47 per cent showed slight and 46 per cent severe changes. Seven per cent had normal mucosa. The microscopic grade of gastritis proved to be independent of age, alcohol and tobacco consumption and serum gastrin. No correlation between clinical status, such as dumping, diarrhoea, vomiting and pain, haematological parameters and the microscopic grade of gastritis, could be found. It is suggested that gastritis might be caused by reflux of bile, pancreatic and intestinal juices, and that postgastrectomy symptoms and anaemia do not depend on the microscopic grade of gastritis.<\/jats:p>","DOI":"10.1002\/bjs.1800700606","type":"journal-article","created":{"date-parts":[[2007,3,2]],"date-time":"2007-03-02T23:27:47Z","timestamp":1172878067000},"page":"322-325","source":"Crossref","is-referenced-by-count":13,"title":["Causes and clinical significance of gastritis following Billroth II resection for duodenal ulcer"],"prefix":"10.1093","volume":"70","author":[{"given":"A B","family":"Fischer","sequence":"first","affiliation":[{"name":"Surgical Department 1 and Pathological-anatomical Institute, Kommunehospitalet , Copenhagen,","place":["Denmark"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"N","family":"Gr\u00e6m","sequence":"additional","affiliation":[{"name":"Surgical Department 1 and Pathological-anatomical Institute, Kommunehospitalet , Copenhagen,","place":["Denmark"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L A","family":"Christiansen","sequence":"additional","affiliation":[{"name":"Surgical Department 1 and Pathological-anatomical Institute, Kommunehospitalet , Copenhagen,","place":["Denmark"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[1983,6,1]]},"reference":[{"key":"2024092714555082600_bib1","first-page":"227","article-title":"Mucosal changes of the Billroth II resected stomach","volume":"89","author":"Gr\u00e6m","year":"1981","journal-title":"Acta Pathol. 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