Reflujo gastroesofágico patológico en pacientes con obesidad severa, mórbida e hiper obesidad / Pathological gastroesophageal reflux in patients with severe, morbid and hyper obesity
Rev. méd. Chile
;
129(9): 1038-1043, sept. 2001. tab
Artigo
em Espanhol
| LILACS
| ID: lil-302034
ABSTRACT
Background:
Overweight can be a risk factor for pathological gastroesophageal reflux or hiatal hernia.Aim:
To study the prevalence of gastroesophageal reflux in patients with severe obesity. Patients andmethods:
Sixty seven patients, 51 female, aged 17 to 56 years old with a body mass index over 35 kg/m2, were studied. An upper gastrointestinal endoscopy was performed in all, esophageal manometry was done in 32 and 24 h pH monitoring was done in 32 patients.Results:
Seventy nine percent of patients complained of heartburn and 66 of regurgitation. In 16 patients, endoscopy was normal. An erosive esophagitis was found in 33 patients, a short columnar epithelium in 12 and a Barret esophagus with intestinal metaplasia in six. Normal endoscopic findings and erosive esophagitis were present with a higher frequency in women. No association between the degree of obesity and esophageal lesions was observed. Lower esophageal sphincter pressure and abdominal length were significantly higher in subjects with a body mass index over 50 compared to those with a body mass index between 35 and 39.9 kg/m2. No differences were observed in 24 h pH monitoring.Conclusions:
A high proportion of severely obese patients had symptoms and endoscopical findings of pathological gastroesophageal reflux
Texto completo:
DisponíveL
Índice:
LILACS (Américas)
Assunto principal:
Refluxo Gastroesofágico
/
Obesidade
Tipo de estudo:
Estudo de etiologia
/
Estudo de prevalência
/
Fatores de risco
Limite:
Adolescente
/
Adulto
/
Feminino
/
Humanos
/
Masculino
Idioma:
Espanhol
Revista:
Rev. méd. Chile
Assunto da revista:
Medicina
Ano de publicação:
2001
Tipo de documento:
Artigo
País de afiliação:
Chile
Instituição/País de afiliação:
Universidad de Chile/CL
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