Chulam Thiago Celestino, Lira Renan Bezerra, Kowalski Luiz Paulo
- Department of Head and Neck Surgery and Otorhinolaryngology, AC Camargo Cancer Center, São Paulo, SP, Brazil.
Rev Col Bras Cir. 2016 Jul-Aug;43(4):289-91. doi: 10.1590/0100-69912016004013.
to evaluate the thickness of the gastric wall at the time of intra gastric balloon (IGB) placement, at the time of its withdrawal and one month after withdrawal.
fifteen morbidly obese patients underwent the introduction of IGB under general anesthesia. In all patients, there was infusion of 500ml of distilled water in the balloon for the test. Measurements of the thickness of the gastric wall were made in the antrum, body and proximal body, using a radial echoendoscope with a frequency of 12MHz and maximum zoom, and its own balloon inflated with 5ml of distilled water.
the presence of IGB led to increased wall thickness of the gastric body by expanding the muscle layer. These changes were apparently transient, since 30 days after the balloon withdrawal there was a tendency to return of the wall thickness values observed before the balloon insertion.
the use of intragastric balloon for the treatment of obesity determines transient increase in the wall thickness of the gastric body caused by expanded muscle layer.
A preocupação com a melhoria dos resultados estéticos e funcionais sem comprometimento dos resultados oncológicos na cirurgia de cabeça e pescoço tem aumentado significativamente. Os procedimentos minimamente invasivos e principalmente aqueles que utilizam a tecnologia robótica permitiram o desenvolvimento de novas abordagens, incluindo o acesso retroauricular, que agora é usado rotineiramente, especialmente na Coréia do Sul. A presente nota irá ilustrar a técnica e a experiência inicial na América Latina, demonstrando que esta abordagem é viável, segura e eficaz oncologicamente, podendo ser utilizada em casos selecionados com um benefício estético evidente.
评估胃内球囊（IGB）置入时、取出时及取出后1个月时胃壁的厚度。
15例病态肥胖患者在全身麻醉下置入IGB。所有患者均向球囊内注入500ml蒸馏水进行测试。使用频率为12MHz且最大变焦的径向超声内镜，并将其自带的球囊充入5ml蒸馏水，在胃窦、胃体和胃体近端测量胃壁厚度。
IGB的存在通过扩张肌层导致胃体壁厚度增加。这些变化显然是短暂的，因为在球囊取出30天后，壁厚度值有恢复到球囊插入前观察到的值的趋势。
使用胃内球囊治疗肥胖会导致胃体壁厚度因肌层扩张而短暂增加。
对头颈部手术中在不影响肿瘤学结果的情况下改善美学和功能结果的关注显著增加。微创程序，尤其是那些使用机器人技术的程序，促成了新方法的发展，包括耳后入路，现在该入路已被常规使用，尤其是在韩国。本报告将说明该技术及在拉丁美洲的初步经验，证明该入路是可行、安全且在肿瘤学上有效的，可用于有明显美学益处的选定病例。
