Nova Classificação Para Transtornos De Motilidade Esofágicas (Classificação De Chicago, Versão 4.0©) E Esofagopatia Na Doença De Chagas (Acalásia)

Herbella, Fernando A. M.; Malafaia, Osvaldo; Patti, Marco G.

doi:10.1590/0102-672020210002e1624

ABCD, arq. bras. cir. dig.

2021

DOI: 10.1590/0102-672020210002e1624

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Nova Classificação Para Transtornos De Motilidade Esofágicas (Classificação De Chicago, Versão 4.0©) E Esofagopatia Na Doença De Chagas (Acalásia)

Fernando A. M. Herbella

Osvaldo Malafaia

Marco G. Patti³

Abstract: Does the drop in portal pressure after esophagogastric devascularization and splenectomy influence the variation of variceal calibers and the rebleeding rates in schistosomiasis in late follow-up?

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Cited by 2 publications

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Peroral endoscopic myotomy and its use in non-achalasia disorders

Rengarajan,

Aadam

2024

Diseases of the Esophagus

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Summary The aim of this review is to provide an overview of per-oral endoscopic myotomy (POEM) and its utilization in non-achalasia disorders of the esophagus. POEM, a relatively novel endoscopic technique, involves submucosal tunneling to access esophageal muscle layers, enabling selective myotomy and mitigating the consequences of motor disorders of the esophagus. POEM is an effective treatment modality for diffuse esophageal spasm providing resolution of chest pain and dysphagia in a majority of patients who have refractory symptoms despite medical therapy. The results of POEM are more equivocal compared to esophagogastric junction outflow obstruction (EGJOO). POEM in EGJOO has been shown to have a 93% clinical success rate in 6 months. POEM appears to be more effective in motor disorders that affect the lower esophageal sphincter, such as EGJOO and opioid-induced esophageal dysfunction. While the current data for POEM in other entities such as DES and HE are positive, more supportive data are required to make POEM a consistent recommendation for patients.

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Peroral endoscopic myotomy and its use in non-achalasia disorders

Rengarajan,

Aadam

2024

Diseases of the Esophagus

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Case Report: Chagas Disease in a Traveler Who Developed Esophageal Involvement Decades after Acute Infection

Beatty

Alcala

Radetic

et al. 2023

The American Journal of Tropical Medicine and Hygiene

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Travelers to Chagas disease endemic regions of Latin America may be at risk for Trypanosoma cruzi infection. We report a 67-year-old woman who screened positive for T. cruzi infection while donating blood. The patient had a history of an unusual febrile illness and marked swelling of the face sustained at age 10 after camping in northern Mexico that led to a 3-week hospitalization without a diagnosis. More than 4 decades later, rapid diagnostic tests and commercial and confirmatory serology for Chagas disease were all positive for T. cruzi infection. On evaluation, the patient described a progressive chronic cough, gastroesophageal reflux, and dysphagia for > 10 years. There was no evidence of any cardiac complications. However, esophageal manometry demonstrated significant dysmotility, with 90% of swallows being ineffective with evidence of esophageal pressurization and retrograde peristalsis in several swallows, suggesting early autonomic disruption due to Chagas disease esophagopathy. In this report, we highlight the importance of travel-related Chagas disease among travelers to endemic regions and the need to further identify potential risks of transmission among this at-risk population.

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Nova Classificação Para Transtornos De Motilidade Esofágicas (Classificação De Chicago, Versão 4.0©) E Esofagopatia Na Doença De Chagas (Acalásia)

Abstract: Does the drop in portal pressure after esophagogastric devascularization and splenectomy influence the variation of variceal calibers and the rebleeding rates in schistosomiasis in late follow-up?

Cited by 2 publications

References 11 publications

Peroral endoscopic myotomy and its use in non-achalasia disorders

Peroral endoscopic myotomy and its use in non-achalasia disorders

Case Report: Chagas Disease in a Traveler Who Developed Esophageal Involvement Decades after Acute Infection

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