Artículo de revista
Laparoscopic surgical treatment for patients with short- and long-segment Barrett's esophagus: Which technique in which patient?
Fecha
2011Registro en:
International Surgery, Volumen 96, Issue 2, 2018, Pages 95-103
00208868
10.9738/CC29.1
Autor
Braghetto Miranda, Italo
Korn Bruzzone, Owen
Valladares Hernández, Héctor
Debandi Cuadra, Aníbal
Díaz, Juan Carlos
Brunet, Luis
Institución
Resumen
Laparoscopic antireflux surgery is very successful in patients with short-segment Barrett's esophagus (BE), but in patients with long-segment BE, the results remain in discussion. In these patients, during the open era of surgery, we performed acid suppression + duodenal diversion procedures added to the antireflux procedure (fundoplication + vagotomy + antrectomy + Roux-en-Y gastrojejunostomy) to obtain better results at long-term follow-up. The aim of this prospective study is to present the results of 3 to 5 years' follow-up in patients with short-segment and long-segment or complicated BE (ulcer or stricture) who underwent fundoplication or the acid suppression-duodenal diversion technique, both performed by a laparoscopic approach. One hundred eight patients with histologically confirmed BE were included: 58 patients with short-segment BE, and 50 with long-segment BE, 28 of whom had complications associated with severe erosive esophagitis, ulcer, or stricture. After surgery, among