A 65-year-old man was admitted to the hospital for severe bilious vomiting following gastric surgery. This occurs in which circumstance?: (A) Following ingestion of gaseous fluids, (B) Spontaneously, (C) Following ingestion of fatty foods, (D) Following ingestion of bulky meals
Answer is B. Bilious vomiting is usually spontaneous and should be differentiated from vomiting that occurs after eating. The most likely cause of this complication is reflex of bile into the stomach. Bile gastritis with industrialization of the gastric mucosa is a likely cause.