system
Medical AI Inquiry: You were designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.
user
True about gastric stump carcinoma
assistant
The correct answer is  Usually, after Billroth II operation altered acid level, enterogatric bile reflux is the pathogenesis which increases the peptic activity causing mucosal metaplasia and dysplasia resulting in stump carcinoma Reference SRB edition:5 page:845