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vol.28 suppl.1PREVALÊNCIA DE OBESIDADE E SÍNDROME METABÓLICA EM FREQUENTADORES DE UM PARQUEEVALUATION OF UPPER GASTROINTESTINAL ENDOSCOPY IN PATIENTS UNDERGOING BARIATRIC SURGERY author indexsubject indexarticles search
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ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo)

Print version ISSN 0102-6720On-line version ISSN 2317-6326

Abstract

SANTO, Marco Aurelio et al. ENDOSCOPIC CHANGES RELATED TO GASTROESOPHAGEAL REFLUX DISEASE: COMPARATIVE STUDY AMONG BARIATRIC SURGERY PATIENTS. ABCD, arq. bras. cir. dig. [online]. 2015, vol.28, suppl.1, pp.36-38. ISSN 2317-6326.  https://doi.org/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.

Keywords : Morbid obesity; Gastroesophageal reflux; Esophagitis; Hiatal hernia; Bariatric surgery.

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