2007
DOI: 10.1590/s0100-69912007000500006
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Abstract: OBJETIVO: Avaliar os resultados do tratamento cirúrgico em uma série de pacientes submetidos ao tratamento prévio para megaesôfago que evoluíram com recidiva de sintomas. MÉTODO: Analisou-se os resultados das diversas técnicas operatórias realizadas em 47 pacientes pelo Serviços de Cirurgia Geral e Torácica do HMCP-PUC-Campinas. A morbidade pós-cirúrgica, mortalidade, o alívio ou nova recidiva de sintomas e o tempo de seguimento foram os principais indicadores. Dividiu-se a série em três grupos, de acordo com … Show more

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Cited by 9 publications
(12 citation statements)
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“…Neither treatment; however, seems to be ideal since they do not act directly on the physiopathology of the disease [1][2][3][4][5] .…”
Section: Introductionmentioning
confidence: 99%
“…Neither treatment; however, seems to be ideal since they do not act directly on the physiopathology of the disease [1][2][3][4][5] .…”
Section: Introductionmentioning
confidence: 99%
“…Na opinião dos autores desta revisão, nestes casos, as técnicas que preconizam abordagem mais agressiva com maior abertura da junção esofagogástrica -cardioplastia a Gröndhal, Wendel, por laparoscopia ou a operação de Thal-Hatafuku -, trarão o benefício de favorecer o melhor esvaziamento do esôfago naqueles casos em que a simples miotomia não é suficiente (esôfago mais dilatado e fibrose do sítio cirúrgico) 1,9 . Porém estas técnicas estão associadas com índices elevados de complicações relacionadas ao refluxo gastro-esofágico 8,9 .…”
Section: Resultsunclassified
“…Com princípio diferenciado foi encontrada a mucosectomia laparotômica com reconstrução com estômago 1 .…”
Section: Outrasunclassified
“…This becomes evident in the non advanced megaesophagus without prior treatment, in which the myotomy with fundoplication -conservative and not complex operation -provides better results compared to other techniques 7,9,15 . In the advanced megaesophagus without prior treatment, the therapy of choice has been esophagectomy without thoracotomy or esophageal mucosal resection with preservation of the muscular layer, with the replacement of esophagus performed by gastric transposition to the neck 5,8,17 .…”
mentioning
confidence: 99%
“…This is due to technical errors in performing the first operation, the inappropriate choice of surgical technique for a particular grade of megaesophagus, the different follow-up periods in which patients are attended, and poor nutritional status. It must be added to this, the fact that not always is known what was the previous procedure 7,21,25 . The alternatives range from more conservative procedures with less potential morbidity, such as re-myotomy and esophagocardioplasty with gastrectomy, or even more complex operations such as distal esophagectomy with interposition or jejunal, and subtotal esophagectomy 1,7,9,11,17,26 .…”
mentioning
confidence: 99%