与胃食管反流病相关的内镜改变：减重手术患者的比较研究
ENDOSCOPIC CHANGES RELATED TO GASTROESOPHAGEAL REFLUX DISEASE: COMPARATIVE STUDY AMONG BARIATRIC SURGERY PATIENTS.
作者信息
Santo Marco Aurelio, Quintanilha Sylvia Regina, Mietti Cesar Augusto, Kawamoto Flavio Masato, Marson Allan Garms, de Cleva Roberto
机构信息
Hospital das Clinicas, Medical School, University of São Paulo, São Paulo, SP, Brazil.
出版信息
Arq Bras Cir Dig. 2015;28 Suppl 1(Suppl 1):36-8. doi: 10.1590/S0102-6720201500S100011.
BACKGROUND
Obesity is correlated with several comorbidities, including gastroesophageal reflux disease. Its main complications are detectable by endoscopy: erosive esophagitis and Barrett's esophagus.
AIM
To correlate erosive esophagitis and hiatal hernia with the degree of body mass index (BMI).
METHOD
Was performed a retrospective analysis of 717 preoperative endoscopic reports of bariatric patients. Fifty-six (8%) presented hiatal hernia, being 44 small, nine medium and five large. Esophagitis was classified by Los Angeles classification.
RESULTS
There was no correlation between the presence and dimension of hiatal hernia with BMI. One hundred thirty-four (18.7%) patients presented erosive esophagitis. Among them, 104 (14.5%) had esophagitis grade A; 25 (3.5%) grade B; and five (0.7%) grade C. When considering only the patients with erosive esophagitis, 77.6% had esophagitis grade A, 18.7% grade B and 3.7% grade C. Were identified only two patients with Barrett's esophagus (0,28%).
CONCLUSION
There was a positive correlation between the degree of esophagitis with increasing BMI.
背景
肥胖与多种合并症相关，包括胃食管反流病。其主要并发症可通过内镜检查发现：糜烂性食管炎和巴雷特食管。
目的
将糜烂性食管炎和食管裂孔疝与体重指数（BMI）程度相关联。
方法
对717例肥胖症患者的术前内镜报告进行回顾性分析。56例（8%）存在食管裂孔疝，其中44例为小型，9例为中型，5例为大型。食管炎按洛杉矶分类法进行分类。
结果
食管裂孔疝的存在及大小与BMI之间无相关性。134例（18.7%）患者存在糜烂性食管炎。其中，104例（14.5%）为A级食管炎；25例（3.5%）为B级；5例（0.7%）为C级。仅考虑糜烂性食管炎患者时，77.6%为A级食管炎，18.7%为B级，3.7%为C级。仅发现2例巴雷特食管患者（0.28%）。
结论
食管炎程度与BMI升高之间存在正相关。
Zotero 插件