Effect of Roux-en-Y gastric bypass in the control of erosive esophagitis

Autores

  • Antônio Benincá Albuquerque 1 Faculdade de Medicina, Universidade de Passo Fundo (UPF). Passo Fundo, Rio Grande do Sul, Brasil.
  • André Luca Boeira Rovani 1 Faculdade de Medicina, Universidade de Passo Fundo (UPF). Passo Fundo, Rio Grande do Sul, Brasil.
  • Bruna Schmitt Puhl 1 Faculdade de Medicina, Universidade de Passo Fundo (UPF). Passo Fundo, Rio Grande do Sul, Brasil.
  • Carlos Roberto Giacometti 1 Faculdade de Medicina, Universidade de Passo Fundo (UPF). Passo Fundo, Rio Grande do Sul, Brasil.
  • Eduardo Dombroski da Silva 1 Faculdade de Medicina, Universidade de Passo Fundo (UPF). Passo Fundo, Rio Grande do Sul, Brasil.
  • Elisa Estivalete Jablonski 1 Faculdade de Medicina, Universidade de Passo Fundo (UPF). Passo Fundo, Rio Grande do Sul, Brasil.
  • Fernanda Marcante Carlotto 1 Faculdade de Medicina, Universidade de Passo Fundo (UPF). Passo Fundo, Rio Grande do Sul, Brasil.
  • Fernanda Tisott Burtet 1 Faculdade de Medicina, Universidade de Passo Fundo (UPF). Passo Fundo, Rio Grande do Sul, Brasil.
  • Jaline Ribeiro da Silva 1 Faculdade de Medicina, Universidade de Passo Fundo (UPF). Passo Fundo, Rio Grande do Sul, Brasil.
  • Larissa Belke 1 Faculdade de Medicina, Universidade de Passo Fundo (UPF). Passo Fundo, Rio Grande do Sul, Brasil.
  • Carlos Augusto Scussel Madalosso 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.
  • Daniel Navarini 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.

Palavras-chave:

Erosive esophagitis, GERD, bariatric surgery, obesity, comorbidity

Resumo

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

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Publicado

2019-08-20

Como Citar

1.
Albuquerque AB, Rovani ALB, Puhl BS, Giacometti CR, da Silva ED, Jablonski EE, Carlotto FM, Burtet FT, da Silva JR, Belke L, Madalosso CAS, Navarini D. Effect of Roux-en-Y gastric bypass in the control of erosive esophagitis. Clin Biomed Res [Internet]. 20º de agosto de 2019 [citado 5º de dezembro de 2022];39(2). Disponível em: https://www.seer.ufrgs.br/index.php/hcpa/article/view/91178

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