Prevalence of cholelithiasis in patients with chagasic megaesophagus
INTRODUCTION: The prevalence of cholelithiasis in the general population ranges from 9 to 18%. This prevalence is known to be higher in the presence of parasympathetic nerve damage of the biliary tract either due to surgery (vagotomy) or neuronal destruction (Chagas disease). The objective of this s...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Sociedade Brasileira de Medicina Tropical (SBMT)
2011-06-01
|
| Series: | Revista da Sociedade Brasileira de Medicina Tropical |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822011000300012&lng=en&tlng=en |
| _version_ | 1811335957357527040 |
|---|---|
| author | Eduardo Crema Ellen Caroline Rosa Resende Silva Priscila Melo Franciscon Virmondes Rodrigues Júnior Aiodair Martins Júnior Celso Júnior Oliveira Teles Alex Augusto Silva |
| author_facet | Eduardo Crema Ellen Caroline Rosa Resende Silva Priscila Melo Franciscon Virmondes Rodrigues Júnior Aiodair Martins Júnior Celso Júnior Oliveira Teles Alex Augusto Silva |
| author_sort | Eduardo Crema |
| collection | DOAJ |
| description | INTRODUCTION: The prevalence of cholelithiasis in the general population ranges from 9 to 18%. This prevalence is known to be higher in the presence of parasympathetic nerve damage of the biliary tract either due to surgery (vagotomy) or neuronal destruction (Chagas disease). The objective of this study was to evaluate the association of cholelithiasis and chagasic or idiopathic megaesophagus. METHODS: The ultrasound scans of 152 patients with megaesophagus submitted to cardiomyotomy and subtotal esophagectomy surgery were evaluated. The presence of cholelithiasis was compared between chagasic and idiopathic esophagopathy and ultrasound and clinical findings were correlated with age, sex and race. RESULTS: A total of 152 cases of megaesophagus, including 137 with chagasic megaesophagus and 15 with idiopathic megaesophagus, were analyzed. The mean age was 56.7 years (45-67) in the 137 patients with chagasic megaesophagus and 35.6 years (27-44) in the 15 cases of idiopathic megaesophagus, with a significant difference between the two groups (p < 0.0001). The group with chagasic megaesophagus consisted of 59 (43%) women and 78 (56.9%) men, while the group with idiopathic megaesophagus consisted of 8 (53.3%) women and 7 (46.6%) men, showing no significant difference between the groups. Of the 137 patients with confirmed chagasic megaesophagus, 39 (28.4%) presented cholelithiasis versus one case (6.6%) in the 15 patients with idiopathic megaesophagus. CONCLUSIONS: The prevalence of cholelithiasis is high in patients with chagasic megaesophagus and preoperative ultrasound should be performed routinely in these patients in order to treat both conditions during the same surgical procedure. |
| first_indexed | 2024-04-13T17:32:18Z |
| format | Article |
| id | doaj.art-7c45362c25674c37af0015dd12d4546c |
| institution | Directory Open Access Journal |
| issn | 1678-9849 |
| language | English |
| last_indexed | 2024-04-13T17:32:18Z |
| publishDate | 2011-06-01 |
| publisher | Sociedade Brasileira de Medicina Tropical (SBMT) |
| record_format | Article |
| series | Revista da Sociedade Brasileira de Medicina Tropical |
| spelling | doaj.art-7c45362c25674c37af0015dd12d4546c2022-12-22T02:37:31ZengSociedade Brasileira de Medicina Tropical (SBMT)Revista da Sociedade Brasileira de Medicina Tropical1678-98492011-06-0144332432610.1590/s0037-86822011005000043S0037-86822011000300012Prevalence of cholelithiasis in patients with chagasic megaesophagusEduardo Crema0Ellen Caroline Rosa Resende Silva1Priscila Melo Franciscon2Virmondes Rodrigues Júnior3Aiodair Martins Júnior4Celso Júnior Oliveira Teles5Alex Augusto Silva6Universidade Federal do Triângulo MineiroUniversidade Federal do Triângulo MineiroUniversidade Federal do Triângulo MineiroUniversidade Federal do Triângulo MineiroUniversidade Federal do Triângulo MineiroUniversidade Federal do Triângulo MineiroUniversidade Federal do Triângulo MineiroINTRODUCTION: The prevalence of cholelithiasis in the general population ranges from 9 to 18%. This prevalence is known to be higher in the presence of parasympathetic nerve damage of the biliary tract either due to surgery (vagotomy) or neuronal destruction (Chagas disease). The objective of this study was to evaluate the association of cholelithiasis and chagasic or idiopathic megaesophagus. METHODS: The ultrasound scans of 152 patients with megaesophagus submitted to cardiomyotomy and subtotal esophagectomy surgery were evaluated. The presence of cholelithiasis was compared between chagasic and idiopathic esophagopathy and ultrasound and clinical findings were correlated with age, sex and race. RESULTS: A total of 152 cases of megaesophagus, including 137 with chagasic megaesophagus and 15 with idiopathic megaesophagus, were analyzed. The mean age was 56.7 years (45-67) in the 137 patients with chagasic megaesophagus and 35.6 years (27-44) in the 15 cases of idiopathic megaesophagus, with a significant difference between the two groups (p < 0.0001). The group with chagasic megaesophagus consisted of 59 (43%) women and 78 (56.9%) men, while the group with idiopathic megaesophagus consisted of 8 (53.3%) women and 7 (46.6%) men, showing no significant difference between the groups. Of the 137 patients with confirmed chagasic megaesophagus, 39 (28.4%) presented cholelithiasis versus one case (6.6%) in the 15 patients with idiopathic megaesophagus. CONCLUSIONS: The prevalence of cholelithiasis is high in patients with chagasic megaesophagus and preoperative ultrasound should be performed routinely in these patients in order to treat both conditions during the same surgical procedure.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822011000300012&lng=en&tlng=enDoença de ChagasColelitíaseMegaesôfagoDesnervação da vesícula biliar |
| spellingShingle | Eduardo Crema Ellen Caroline Rosa Resende Silva Priscila Melo Franciscon Virmondes Rodrigues Júnior Aiodair Martins Júnior Celso Júnior Oliveira Teles Alex Augusto Silva Prevalence of cholelithiasis in patients with chagasic megaesophagus Revista da Sociedade Brasileira de Medicina Tropical Doença de Chagas Colelitíase Megaesôfago Desnervação da vesícula biliar |
| title | Prevalence of cholelithiasis in patients with chagasic megaesophagus |
| title_full | Prevalence of cholelithiasis in patients with chagasic megaesophagus |
| title_fullStr | Prevalence of cholelithiasis in patients with chagasic megaesophagus |
| title_full_unstemmed | Prevalence of cholelithiasis in patients with chagasic megaesophagus |
| title_short | Prevalence of cholelithiasis in patients with chagasic megaesophagus |
| title_sort | prevalence of cholelithiasis in patients with chagasic megaesophagus |
| topic | Doença de Chagas Colelitíase Megaesôfago Desnervação da vesícula biliar |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822011000300012&lng=en&tlng=en |
| work_keys_str_mv | AT eduardocrema prevalenceofcholelithiasisinpatientswithchagasicmegaesophagus AT ellencarolinerosaresendesilva prevalenceofcholelithiasisinpatientswithchagasicmegaesophagus AT priscilamelofranciscon prevalenceofcholelithiasisinpatientswithchagasicmegaesophagus AT virmondesrodriguesjunior prevalenceofcholelithiasisinpatientswithchagasicmegaesophagus AT aiodairmartinsjunior prevalenceofcholelithiasisinpatientswithchagasicmegaesophagus AT celsojunioroliveirateles prevalenceofcholelithiasisinpatientswithchagasicmegaesophagus AT alexaugustosilva prevalenceofcholelithiasisinpatientswithchagasicmegaesophagus |