PRE AND POSTOPERATIVE PH MONITORING AND WEIGHT LOSS ANALYSIS IN PATIENTS UNDERGOING GASTRIC PLICATION IN ASSOCIATION WITH FUNDOPLICATION
| Autor: | Gustavo Massaki Kuwaki, Cristiane Megumi Simamura, Julielli Taques Colman, Guilherme Mussi Campos, Luciana Pereira Mesquita, Flávio Heuta Ivano |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
Adult
Male medicine.medical_specialty RD1-811 Adolescent Gastroplasty Fundoplication RC799-869 Preoperative care 03 medical and health sciences Stomach surgery Young Adult 0302 clinical medicine Weight loss Preoperative Care Weight Loss medicine Humans Obesity Monitoring Physiologic Postoperative Care Refluxo gastroesofágico medicine.diagnostic_test business.industry Stomach Artigo Original Reflux General Medicine Diseases of the digestive system. Gastroenterology Hydrogen-Ion Concentration Middle Aged Curvatures of the stomach Fundoplicatura Surgery Endoscopy medicine.anatomical_structure Cross-Sectional Studies Gastroesophageal reflux Obesidade 030220 oncology & carcinogenesis 030211 gastroenterology & hepatology Female medicine.symptom business Body mass index |
| Zdroj: | ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo), Volume: 30, Issue: 4, Pages: 244-247, Published: DEC 2017 Arquivos Brasileiros de Cirurgia Digestiva : ABCD 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 ABCD: Arquivos Brasileiros de Cirurgia Digestiva, Vol 30, Iss 4, Pp 244-247 (2017) |
| Popis: | Background : Obese patients with gastroesophageal reflux disease with pathological pH monitoring result may benefit from surgical treatment which is based on the fundoplication technique in association with laparoscopic gastric plication. The Nissen surgery is the gold standard for surgical treatment of gastroesophageal reflux disease, whereas laparoscopic gastric plication is a restrictive surgery that consists of the invagination of the greater curvature, resulting in weight loss. Aim: To compare pre and postoperative pHmetry results and to evaluate weight loss in patients submitted to gastroplasty with fundoplication. Method: Sixteen patients with class I body mass index with symptoms of gastroesophageal reflux with changes of stomach pH and/or erosive esophagitis seen in endoscopy were selected The evaluation of the weight and 24-h pH monitoring was performed preoperatively and postoperatively. The weight, body mass index, percentage of excess weight loss and DeMeester score of patients that underwent the surgery were evaluated pre and postoperatively. Results: Regarding pH monitoring, the average preoperative DeMeester index was 28.7, which was followed by a significant postoperative average reduction to 2.8 (p |
| Databáze: | OpenAIRE |
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