Alterações cronológicas do perfil dos pacientes e da modalidade de tratamento cirúrgico do megaesôfago chagásico

Ceneviva, Reginaldo; Ferreira-Santos, R; Santos, José Sebastião dos; Mente, Ênio David; Sankarankutty, Ajith Kumar

doi:10.1590/s0102-86502002000900026

Cited by 8 publications

(7 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In an epidemiological series of a general population sample, rather than a hospital sample, Castro et al 16 also noted a prevalence of Group I and II (80.5%) patients with CM. Ceneviva et al 17 compared 2 epidemiological series and found a greater prevalence of Group III patients in a series from the 1960s and Group II patients in a series from the 1990s.…”

Section: Discussionmentioning

confidence: 99%

Current epidemiological profile of Chagasic megaesophagus in Central Brazil

Souza

Vaz

Fonseca

et al. 2013

Rev. Soc. Bras. Med. Trop.

View full text Add to dashboard Cite

Introduction: Chagasic megaesophagus (CM) is the most common digestive manifestation of Chagas disease in Brazil, and the State of Goiás is one of the most affected regions. In recent decades, the Hospital das Clínicas (HC)/Universidade Federal de Goiás (UFG) has been a reference center for the study and treatment of CM. The objective of this study was to characterize the current epidemiological profi le of patients with CM observed at the HC of the UFG from 1998 to 2010. Methods: In total, 939 patient records were analyzed, and age, gender, place of birth, serology, symptoms and radiological classifi cation according to Rezende et al. were analyzed. Results: The median patient age was 55 years. Male patients were more (54%) prevalent than female patients. The prevalence of younger patients (less than 31 years of age) was 4.2%, but 82.1% of the younger patients were from State of Bahia. Patients older than 40 years were the majority (85.5%). The radiological groups were distributed as follows: Group I (35.9%), Group II (32.9%), Group III (17%) and Group IV (14.2%). Conclusions: Compared with previous studies by the same group in 1975, 1994 and 1995, the number of younger patients decreased, and the frequency curve has shifted to older patients.

show abstract

Section: Discussionmentioning

confidence: 99%

Current epidemiological profile of Chagasic megaesophagus in Central Brazil

Souza

Vaz

Fonseca

et al. 2013

Rev. Soc. Bras. Med. Trop.

View full text Add to dashboard Cite

show abstract

“…Existem diversas classificações para o grau de megaesôfago, mas será adotada a de Mascarenhas 11 que se baseia, fundamentalmente, no diâmetro transverso do órgão, a saber: grau I-até 4cm, grau II-de 4 a 7cm, grau III-7 a 10cm, grau IV-mais de 10cm 11 . Essa classificação é importante para adequar o tratamento, por procedimento cirúrgico, com resultados mais eficientes, menor morbidade e melhor qualidade de vida 3 .…”

unclassified

O megaesôfago tratado cirurgicamente: perfil epidemiológico dos pacientes operados no Hospital de Clínicas da Universidade Estadual de Campinas entre 1989 e 2005

Oliveira

Lopes

Andreollo

et al. 2008

Rev. Soc. Bras. Med. Trop.

View full text Add to dashboard Cite

A tripanossomíase americana descrita por Carlos Chagas em 1909 constitui, ainda hoje, um problema sócio-econômico nacional e regional que aflige, principalmente, os países do cone sul da América, prevalentemente. O nível endêmico decorreu, principalmente, devido à domiciliação dos vetores motivada por más condições de habitação, esgotamento de fontes alimentares ABSTRACTMegaesophagus 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. Key-words:Megaesophagus. Chagas disease. Cardiomyotomy. Idiopathic achalasia of the esophagus. Esophagus.originais (ação antrópica destrutiva) e características dos vetores (fototropismo e hematofagia) 13 .O Banco Mundial (World Development Report, 1993) estudou o peso relativo da doença de Chagas, comparado ao de outras enfermidades transmissíveis endêmicas na América Latina e Caribe, e avaliou os pacientes chagásicos quanto aos anos de

show abstract

“…The radiological findings of IEA are similar to those of chagasic megaesophagus, but more advanced forms have been found in greater prevalence in the latter 2 , 9 , 16 , 19 . Although there is no statistical significance because the studied sample was not so relevant, the data served to confirm, because there was the predominance of the non-advanced forms present in 68,7% of the patients in the present series.…”

Section: Discussionmentioning

confidence: 51%

Surgical treatment analysis of idiopathic esophageal achalasia

Aquino

Said

Pereira

et al. 2015

ABCD, arq. bras. cir. dig.

View full text Add to dashboard Cite

BackgroundIdiopathic esophageal achalasia is an inflammatory disease of unknown origin, characterized by aperistalsis of the esophageal body and failure of the lower esophageal sphincter in response to swallowing, with consequent dysphagia.AimTo demonstrate the results of surgical therapy in these patients, evaluating the occurred local and systemic complications.MethodsWere studied retrospectively 32 patients, 22 of whom presented non-advanced stage of the disease (Stage I/II) and 10 with advanced disease (Stage III/IV). All of them had the clinical conditions to be submitted to surgery. The diagnoses were done by clinical, endoscopic, cardiological, radiological and esophageal manometry analysis. Pre-surgical evaluation was done with a questionnaire based on the most predisposing factors in the development of the disease and the surgical indication was based on the stage of the disease.ResultsThe patients with non-advanced stages were submitted to cardiomyotomy with fundoplication, wherein in the post-surgical early assessment, only one (4,4%) presented pulmonary infection, but had a good outcome. In patients with advanced disease, seven were submitted to esophageal mucosectomy preserving the muscular layer, wherein one patient (14,2%) presented dehiscence of gastric cervical esophagus anastomosis as well as pulmonary infection; all of these complications were resolved with proper specific treatment; the other three patients with advanced stage were submitted to transmediastinal esophagectomy; two of them presented hydropneumothorax with good evolution, and one of them also presented fistula of the cervical esophagogastric anastomosis, but with spontaneous healing after conservative treatment and nutritional support. The two patients with fistula of the cervical anastomosis progressed to stenosis, with good results after endoscopic dilations. In the medium and long term assessment done in 23 patients, all of them reported improvement in life quality, with return to swallowing.ConclusionThe strategy proposed for the surgical treatment of idiopathic esophageal achalasia according to the stages of the disease was of great value, due to post-surgical low morbidity complications and proper recovery of swallowing.

show abstract

Alterações cronológicas do perfil dos pacientes e da modalidade de tratamento cirúrgico do megaesôfago chagásico

Cited by 8 publications

References 0 publications

Current epidemiological profile of Chagasic megaesophagus in Central Brazil

Current epidemiological profile of Chagasic megaesophagus in Central Brazil

O megaesôfago tratado cirurgicamente: perfil epidemiológico dos pacientes operados no Hospital de Clínicas da Universidade Estadual de Campinas entre 1989 e 2005

Surgical treatment analysis of idiopathic esophageal achalasia

Contact Info

Product

Resources

About