Artículos de revistas
Surgically Treated Megaesophagus: Epidemiological Profile Of Patients Operated In The Clinical Hospital Of The State University Of Campinas Between 1989 And 2005 [o Megaesôfago Tratado Cirurgicamente: Perfil Epidemiológico Dos Pacientes Operados No Hospital De Clínicas Da Universidade Estadual De Campinas Entre 1989 E 2005]
Registro en:
Revista Da Sociedade Brasileira De Medicina Tropical. , v. 41, n. 2, p. 183 - 188, 2008.
378682
10.1590/S0037-86822008000200010
2-s2.0-45749134176
Autor
De Oliveira G.C.
Lopes L.R.
Andreollo N.A.
Neto J.D.S.C.
Institución
Resumen
Megaesophagus is one of the manifestations of Chagas disease and surgical treatment is the approach that presents the best results. In this retrospective study, the epidemiological profile of patients operated in the Clinical Hospital of University of Campinas between 1989 and 2005 was evaluated with regard to: place of birth, place of residence, probable place of infection, age, degree of megaesophagus, etiology, duration and evolution of dysphagia, other diseases in association and the type of surgery chosen. The method used was to analyze the 390 medical files of these patients, at the hospital's medical archive service. The results made it possible to establish the endemic regions, place of birth and place of residence of the patients with Chagas disease attended at our clinic, and to characterize the group. After detailed analysis, it was found that the mean age was 47 years and the mean duration of dysphagia was 9.47 years. It was observed that: a) in 84.4% of the patients, dysphagia took hold progressively; b) 306 (78.5%) patients presented Chagas disease etiology; c) grade 2 was prevalent in 48%; d) 89.8% of the patients underwent cardiomyotomy; and e) there were frequent associations with gastritis, esophagitis, megacolon, arterial hypertension and cardiopathy. 41 2 183 188 Andreollo, N.A., Lopes, L.R., Brandalise, N.A., Leonardi, L.S., Acalasia idiopática do esôfago: Análise de 25 casos. Gastroenterologia e (1996) Endoscopia Digestiva, 15, pp. 151-155 Carrilho, R.P., (2001) Estudo longitudinal de 25 anos da doença de Chagas em Mambaí/Buritinópolis (GO), , Brasil. Tese de Doutorado, Universidade de Brasília UnB, Brasília, DF Ceneviva, R., Fereira-Santos, R., Santos, J.S., Mente, E.D., Sankarankutty, A.K., Alterações cronológicas do perfil dos pacientes e da modalidade de tratamento cirúrgico do megaesôfago chagásico. (2002) Acta Cirurgica Brasileira, 17 (SUPL III), pp. 125-128 Cirilo, P.M., Mantovani, M., (2000) Temas de cirurgia do aparelho digestivo alto, , Fundo Editorial Byk, São Paulo, SP Aparelho, C.J.C.U., (1996) Digestivo - Clínica Cirúrgica, , Editora Medsi, Rio de Janeiro, RJ Crema, E., Cruvinel, L.A.F., Werneck, A.M., Oliveira, R.M., Silva, A.A., Correlação manométrico-radiológica e sua importância no tratamento cirúrgico do megaesôfago chagásico. (2003) Revista da Sociedade Brasileira de Medicina Tropical, 36, pp. 665-669 Dantas, R.O., Idiopathic achalasia and Chagasic megaesophagu megaesophagus (1988) Journal of Clinical Gastroenterology, 10, pp. 13-15 Dantas, R.O., Comparação entre acalásia idiopática e acalásia conseqüente à doença de Chagas: Revisão. (2003) Arquivos de Gastroenterologia, 40, pp. 126-130 Herbella, F.A.M., del Grande, J.C., Lourenço, L.G., Mansur, N.S., Haddad, C.M., Resultados tardios da operaçäo de Heller associada à fundoplicatura no tratamento do megaesôfago: Análise de 83 casos. (1999) Revista da Associação Médica Brasileira, 45, pp. 317-322 Herbella, F.A.M., Oliveira, D.R.C.F., Del Grande, J.C., Are idiopathic and chagasic achalasia two different Diseases? (2004) Digestive Diseases and Sciences, 49, pp. 353-360 Mascarenhas, L.G., Câmera-Lopes, L.H., Jurema, B., Ferreira-Santos, R., Padronização técnica da radiologia do megaesôfago (1958) Anais do X Congresso Brasileiro de Gastroenterologia, Belo Horizonte, MG Park, W., Vaezi, M.F., Etiology and pathogenesis of achalasia: The current understanding (2005) American Journal of Gastroenterology, 100, pp. 1404-1414 Silveira AC. O controle da doença de Chagas nos países do cone sul da América. História de uma iniciativa internacional - 1991/2001. Fundação de Ensino e Pesquisa de Uberaba, Uberaba, MG, 2002