Efecto del bypass en la esofagitis erosiva en pacientes con obesidad mórbida / Effects of gastric bypass on erosive esophagitis in obese subjects
Rev. méd. Chile
;
134(3): 285-290, mar. 2006. tab
Artículo
en Español
| LILACS
| ID: lil-426093
ABSTRACT
Background:
Obesity is an important risk for pathological gastroesophageal reflux.Aim:
To assess the effects of gastric bypass on obese subjects with erosive esophagitis. Patients andmethods:
Sixty two morbid obese subjects (aged 16 to 70 years, 41 females) with erosive esophagitis at the moment of surgery were studied. These patients were subjected to a gastric bypass with gastric resection. They were followed with upper gastrointestinal endoscopy every one year, looking for the presence of erosions or ulcers in the distal esophagus.Results:
The mean follow up period was 21 months. Prior to surgery all patients had heartburn or regurgitation and at two years after surgery, 97% were asymptomatic. Esophagitis was found in 97 and 6.5% before and after surgery, respectively. Two patients had an esophageal ulcer, that healed on follow up endoscopy. There was a 72% reduction of overweight on late follow up.Conclusions:
Gastric bypass is effective to control pathological gastroesophageal reflux in patients with morbid obesity.
Texto completo:
Disponible
Índice:
LILACS (Américas)
Asunto principal:
Obesidad Mórbida
/
Derivación Gástrica
/
Esofagitis Péptica
/
Reflujo Gastroesofágico
Tipo de estudio:
Estudio de etiología
/
Estudio observacional
/
Estudio pronóstico
/
Factores de riesgo
Límite:
Adolescente
/
Adulto
/
Anciano
/
Femenino
/
Humanos
/
Masculino
Idioma:
Español
Revista:
Rev. méd. Chile
Asunto de la revista:
Medicina
Año:
2006
Tipo del documento:
Artículo
País de afiliación:
Chile
Institución/País de afiliación:
Universidad de Chile/CL
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