Surgery for Gastroesophageal Reflux Disease in the Morbidly Obese Patient.
J Laparoendosc Adv Surg Tech A
; 27(1): 12-18, 2017 Jan.
Article
em En
| MEDLINE
| ID: mdl-27858583
ABSTRACT
The prevalence of gastroesophageal reflux disease (GERD) has mirrored the increase in obesity, and GERD is now recognized as an obesity-related comorbidity. There is growing evidence that obesity, specifically central obesity, is associated with the complications of chronic reflux, including erosive esophagitis, Barrett's esophagus, and esophageal adenocarcinoma. While fundoplication is effective in creating a competent gastroesophageal junction and controlling reflux in most patients, it is less effective in morbidly obese patients. In these patients a bariatric operation has the ability to correct both the obesity and the abnormal reflux. The Roux-en-Y gastric bypass is the preferred procedure.
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Base de dados:
MEDLINE
Assunto principal:
Obesidade Mórbida
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Refluxo Gastroesofágico
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Fundoplicatura
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Cirurgia Bariátrica
Idioma:
En
Ano de publicação:
2017
Tipo de documento:
Article