Effect of Roux-en-Y gastric bypass in the control of erosive esophagitis
Background: Gastroesophageal reflux disease (GERD) is a multifactorial disease associated with environmental and genetic factors. Obesity is among the risk factors for its development, which also correlates with an increase in severity of clinical presentation and a higher incidence of complications...
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| Format: | Article |
| Language: | English |
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Hospital de Clinicas de Porto Alegre ; Universidade Federal do Rio Grande do Sul (UFRGS)
2019-08-01
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| Series: | Clinical and Biomedical Research |
| Subjects: | |
| Online Access: | https://seer.ufrgs.br/hcpa/article/view/91178 |
| _version_ | 1818965031252918272 |
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| author | Antônio Benincá Albuquerque André Luca Boeira Rovani Bruna Schmitt Puhl Carlos Roberto Giacometti Eduardo Dombroski da Silva Elisa Estivalete Jablonski Fernanda Marcante Carlotto Fernanda Tisott Burtet Jaline Ribeiro da Silva Larissa Belke Carlos Augusto Scussel Madalosso Daniel Navarini |
| author_facet | Antônio Benincá Albuquerque André Luca Boeira Rovani Bruna Schmitt Puhl Carlos Roberto Giacometti Eduardo Dombroski da Silva Elisa Estivalete Jablonski Fernanda Marcante Carlotto Fernanda Tisott Burtet Jaline Ribeiro da Silva Larissa Belke Carlos Augusto Scussel Madalosso Daniel Navarini |
| author_sort | Antônio Benincá Albuquerque |
| collection | DOAJ |
| description | Background: Gastroesophageal reflux disease (GERD) is a multifactorial disease associated with environmental and genetic factors. Obesity is among the risk factors for its development, which also correlates with an increase in severity of clinical presentation and a higher incidence of complications associated with reflux.
Aims: To evaluate the impact of Roux-en-Y gastric bypass on the control of erosive esophagitis and metabolic and anthropometric parameters related to obesity.
Methods: This historical cohort study included a sample of 249 patients who had undergone bariatric surgery using the Roux-en-Y gastric bypass technique at the Hospital São Vicente de Paulo, Passo Fundo, southern Brazil, from January 2014 to December 2015. Results: Of 249 patients, 77.9% (190 patients) were female and the mean age was 38 years. The occurrence of reflux esophagitis was 81.1% (196 patients) in the preoperative period and 31.3% (75 patients) in the postoperative period. With regard to bariatric treatment response to control moderate and severe esophagitis (grades B, C and D), there was a reduction in prevalence from 62 (25%) to 12 (5%) patients (p<0.05). Conclusion: Bariatric surgery using the Roux-en-Y gastric bypass technique is effective in the control of reflux esophagitis. Regression is observed mainly in cases of moderate and severe esophagitis.
Keywords: Erosive esophagitis; GERD; bariatric surgery; obesity; comorbidity |
| first_indexed | 2024-12-20T13:10:32Z |
| format | Article |
| id | doaj.art-0ec61c3647d1483aa96b8e97a26cc3eb |
| institution | Directory Open Access Journal |
| issn | 2357-9730 |
| language | English |
| last_indexed | 2024-12-20T13:10:32Z |
| publishDate | 2019-08-01 |
| publisher | Hospital de Clinicas de Porto Alegre ; Universidade Federal do Rio Grande do Sul (UFRGS) |
| record_format | Article |
| series | Clinical and Biomedical Research |
| spelling | doaj.art-0ec61c3647d1483aa96b8e97a26cc3eb2022-12-21T19:39:40ZengHospital de Clinicas de Porto Alegre ; Universidade Federal do Rio Grande do Sul (UFRGS)Clinical and Biomedical Research2357-97302019-08-0139240640Effect of Roux-en-Y gastric bypass in the control of erosive esophagitisAntônio Benincá Albuquerque0André Luca Boeira Rovani1Bruna Schmitt Puhl2Carlos Roberto Giacometti3Eduardo Dombroski da Silva4Elisa Estivalete Jablonski5Fernanda Marcante Carlotto6Fernanda Tisott Burtet7Jaline Ribeiro da Silva8Larissa Belke9Carlos Augusto Scussel Madalosso10Daniel Navarini111 Faculdade de Medicina, Universidade de Passo Fundo (UPF). Passo Fundo, Rio Grande do Sul, Brasil.1 Faculdade de Medicina, Universidade de Passo Fundo (UPF). Passo Fundo, Rio Grande do Sul, Brasil.1 Faculdade de Medicina, Universidade de Passo Fundo (UPF). Passo Fundo, Rio Grande do Sul, Brasil.1 Faculdade de Medicina, Universidade de Passo Fundo (UPF). Passo Fundo, Rio Grande do Sul, Brasil.1 Faculdade de Medicina, Universidade de Passo Fundo (UPF). Passo Fundo, Rio Grande do Sul, Brasil.1 Faculdade de Medicina, Universidade de Passo Fundo (UPF). Passo Fundo, Rio Grande do Sul, Brasil.1 Faculdade de Medicina, Universidade de Passo Fundo (UPF). Passo Fundo, Rio Grande do Sul, Brasil.1 Faculdade de Medicina, Universidade de Passo Fundo (UPF). Passo Fundo, Rio Grande do Sul, Brasil.1 Faculdade de Medicina, Universidade de Passo Fundo (UPF). Passo Fundo, Rio Grande do Sul, Brasil.1 Faculdade de Medicina, Universidade de Passo Fundo (UPF). Passo Fundo, Rio Grande do Sul, Brasil.2 Departamento de Cirurgia, Hospital São Vicente de Paulo (HSVP). Passo Fundo, Rio Grande do Sul, Brasil. 3 Departamento de Cirurgia, Clínica Gastrobese. Passo Fundo, Rio Grande do Sul, Brasil.1 Faculdade de Medicina, Universidade de Passo Fundo (UPF). Passo Fundo, Rio Grande do Sul, Brasil. 2 Departamento de Cirurgia, Hospital São Vicente de Paulo (HSVP). Passo Fundo, Rio Grande do Sul, Brasil. 3 Departamento de Cirurgia, Clínica Gastrobese. Passo Fundo, Rio Grande do Sul, Brasil.Background: Gastroesophageal reflux disease (GERD) is a multifactorial disease associated with environmental and genetic factors. Obesity is among the risk factors for its development, which also correlates with an increase in severity of clinical presentation and a higher incidence of complications associated with reflux. Aims: To evaluate the impact of Roux-en-Y gastric bypass on the control of erosive esophagitis and metabolic and anthropometric parameters related to obesity. Methods: This historical cohort study included a sample of 249 patients who had undergone bariatric surgery using the Roux-en-Y gastric bypass technique at the Hospital São Vicente de Paulo, Passo Fundo, southern Brazil, from January 2014 to December 2015. Results: Of 249 patients, 77.9% (190 patients) were female and the mean age was 38 years. The occurrence of reflux esophagitis was 81.1% (196 patients) in the preoperative period and 31.3% (75 patients) in the postoperative period. With regard to bariatric treatment response to control moderate and severe esophagitis (grades B, C and D), there was a reduction in prevalence from 62 (25%) to 12 (5%) patients (p<0.05). Conclusion: Bariatric surgery using the Roux-en-Y gastric bypass technique is effective in the control of reflux esophagitis. Regression is observed mainly in cases of moderate and severe esophagitis. Keywords: Erosive esophagitis; GERD; bariatric surgery; obesity; comorbidityhttps://seer.ufrgs.br/hcpa/article/view/91178erosive esophagitisgerdbariatric surgeryobesitycomorbidity |
| spellingShingle | Antônio Benincá Albuquerque André Luca Boeira Rovani Bruna Schmitt Puhl Carlos Roberto Giacometti Eduardo Dombroski da Silva Elisa Estivalete Jablonski Fernanda Marcante Carlotto Fernanda Tisott Burtet Jaline Ribeiro da Silva Larissa Belke Carlos Augusto Scussel Madalosso Daniel Navarini Effect of Roux-en-Y gastric bypass in the control of erosive esophagitis Clinical and Biomedical Research erosive esophagitis gerd bariatric surgery obesity comorbidity |
| title | Effect of Roux-en-Y gastric bypass in the control of erosive esophagitis |
| title_full | Effect of Roux-en-Y gastric bypass in the control of erosive esophagitis |
| title_fullStr | Effect of Roux-en-Y gastric bypass in the control of erosive esophagitis |
| title_full_unstemmed | Effect of Roux-en-Y gastric bypass in the control of erosive esophagitis |
| title_short | Effect of Roux-en-Y gastric bypass in the control of erosive esophagitis |
| title_sort | effect of roux en y gastric bypass in the control of erosive esophagitis |
| topic | erosive esophagitis gerd bariatric surgery obesity comorbidity |
| url | https://seer.ufrgs.br/hcpa/article/view/91178 |
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