FUNDOPLICATION CONVERSION IN ROUX-EN-Y GASTRIC BYPASS FOR CONTROL OF OBESITY AND GASTROESOPHAGEAL REFLUX: SYSTEMATIC REVIEW
| Autor: | Almino Ramos, Álvaro Antônio Bandeira Ferraz, Manoel dos Passos Galvão-Neto, Eduardo S. N. Godoy, Helga Cristina Almeida Wahnon Alhinho, Josemberg Marins Campos, Antônio Moreira Mendes-Filho |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
Reoperation
medicine.medical_specialty Gastric bypass RD1-811 medicine.medical_treatment Perforation (oil well) Fundoplication RC799-869 Review Article Nissen fundoplication Laparoscopia 03 medical and health sciences Derivação gástrica 0302 clinical medicine medicine Laparoscopy Humans Obesity Esophagus Bariatric surgery Refluxo gastroesofágico medicine.diagnostic_test Esophagogastroduodenoscopy business.industry Cirurgia bariátrica Reflux General Medicine Diseases of the digestive system. Gastroenterology medicine.disease Roux-en-Y anastomosis Fundoplicatura digestive system diseases Surgery medicine.anatomical_structure Gastroesophageal reflux 030220 oncology & carcinogenesis 030211 gastroenterology & hepatology business Esophagitis |
| Zdroj: | Arquivos Brasileiros de Cirurgia Digestiva : ABCD ABCD: Arquivos Brasileiros de Cirurgia Digestiva, Vol 30, Iss 4, Pp 279-282 (2017) ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo) v.30 n.4 2017 ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo) Colégio Brasileiro de Cirurgia Digestiva (CBCD) instacron:CBCD |
| ISSN: | 2317-6326 0102-6720 |
| Popis: | Introduction : Obesity is related with higher incidence of gastroesophageal reflux disease. Antireflux surgery has inadequate results when associated with obesity, due to migration and/or subsequent disruption of antireflux wrap. Gastric bypass, meanwhile, provides good control of gastroesophageal reflux. Objective: To evaluate the technical difficulty in performing gastric bypass in patients previously submitted to antireflux surgery, and its effectiveness in controlling gastroesophageal reflux. Methods: Literature review was conducted between July to October 2016 in Medline database, using the following search strategy: (“Gastric bypass” OR “Roux-en-Y”) AND (“Fundoplication” OR “Nissen ‘) AND (“Reoperation” OR “Reoperative” OR “Revisional” OR “Revision” OR “Complications”). Results: Were initially classified 102 articles; from them at the end only six were selected by exclusion criteria. A total of 121 patients were included, 68 women. The mean preoperative body mass index was 37.17 kg/m² and age of 52.60 years. Laparoscopic Nissen fundoplication was the main prior antireflux surgery (70.58%). The most common findings on esophagogastroduodenoscopy were esophagitis (n=7) and Barrett’s esophagus (n=6); the most common early complication was gastric perforation (n=7), and most common late complication was stricture of gastrojejunostomy (n=9). Laparoscopic gastric bypass was performed in 99 patients, with an average time of 331 min. Most patients had complete remission of symptoms and efficient excess weight loss. Conclusion: Although technically more difficult, with higher incidence of complications, gastric bypass is a safe and effective option for controlling gastroesophageal reflux in obese patients previously submitted to antireflux surgery, with the added benefit of excess weight loss. |
| Databáze: | OpenAIRE |
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