Necrose da mucosa esofágica como complicação da cardiomiotomia à heller para tratamento de megaesôfago chagásico / Necrosis of esophageal mucosa as a heller cardiomyotomy complication in the treatment of achalasia in chagas' disease
Rev. Col. Bras. Cir
;
29(5): 307-308, set.-out. 2002. ilus
Artigo
em Português
| LILACS
| ID: lil-495377
ABSTRACT
This article presents a complication of the laparoscopic technique for Heller cardiomyotomy and anterior fundoplication. This procedure is safe and provides excellent relief of disphagia in esophageal achalasia. Nevertheless, there are rare but dangerous complications, such as late active digestive bleeding, presented in this paper which was resistant to conservative treatment and led to hypovolemic shock. Urgent laparotomy performed to identify and control bleeding, revealed necrosis of esophageal mucosa with a bleeding gastric vessel. Inadequate exposure of the gastroesophageal junction and an incision very close to the lesser curvature might have damaged the esophageal branches of the left gastric artery, leading to ischemic necrosis of the mucosa and exposure of the gastric wall and its vessels.
Texto completo:
DisponíveL
Índice:
LILACS (Américas)
Idioma:
Português
Revista:
Rev. Col. Bras. Cir
Assunto da revista:
Cirurgia Geral
Ano de publicação:
2002
Tipo de documento:
Artigo
País de afiliação:
Brasil
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