Álvaro A B Ferraz1,2, José-Tarcísio Dias da Silva3, Fernando Santa-Cruz4, Maria-Améllia R Aquino4, Luciana T Siqueira5,3, Flávio Kreimer3. 1. Gastrointestinal Surgery Unit, Hospital Esperança-Rede D'Or São Luiz, Recife, PE, Brazil. alvaroabferraz@gmail.com. 2. Department of Surgery, Federal University of Pernambuco, Av. Prof. Moraes Rego, 1235-Cidade Universitária, Recife, PE, 50670-901, Brazil. alvaroabferraz@gmail.com. 3. Department of Surgery, Federal University of Pernambuco, Av. Prof. Moraes Rego, 1235-Cidade Universitária, Recife, PE, 50670-901, Brazil. 4. Medical School, Federal University of Pernambuco, Recife, PE, Brazil. 5. Gastrointestinal Surgery Unit, Hospital Esperança-Rede D'Or São Luiz, Recife, PE, Brazil.
Abstract
PURPOSE: To determine the real influence of the gastric twist on the progression of esophagitis after SG, evaluating pre- and late post-operative endoscopic findings. MATERIAL AND METHODS: We retrospectively included 459 patients submitted to SG between 2009 and 2019. The sample comprised patients who performed esophagogastroduodenoscopy (EGD) at the pre-operative and late post-operative periods. RESULTS: Patients were mainly female (85.6%), with a mean age of 40.4 years. Mean follow-up time was 20.8 months. In the pre-operative period, 1.1% of patients had non-erosive esophagitis, 24.2% of patients had grade A erosive esophagitis, and 1.5% of patients had grade B. In the post-operative evaluation, 3.3% had non-erosive esophagitis, 14.8% presented grade A erosive esophagitis, 8.9% had grade B, and 1.3% had grade C esophagitis. There were no cases of Barrett's esophagus. Forty-nine patients (10.7%) presented gastric twist. Comparing patients with and without gastric twist, it was possible to observe that the gastric twist group presented a higher incidence of grade C esophagitis (4.0% × 1.0%), p = 0.017. The correlation between the occurrence of gastric twist and esophagitis progression showed a prevalence ratio of 1.36 (95% CI 0.82-2.25). CONCLUSIONS: SG is responsible for an increase in the prevalence of erosive esophagitis, and the occurrence of gastric twist definitely plays a role on it, expressing a risk of 36% for esophagitis progression and being related to a higher incidence of severe esophagitis.
PURPOSE: To determine the real influence of the gastric twist on the progression of esophagitis after SG, evaluating pre- and late post-operative endoscopic findings. MATERIAL AND METHODS: We retrospectively included 459 patients submitted to SG between 2009 and 2019. The sample comprised patients who performed esophagogastroduodenoscopy (EGD) at the pre-operative and late post-operative periods. RESULTS: Patients were mainly female (85.6%), with a mean age of 40.4 years. Mean follow-up time was 20.8 months. In the pre-operative period, 1.1% of patients had non-erosive esophagitis, 24.2% of patients had grade A erosive esophagitis, and 1.5% of patients had grade B. In the post-operative evaluation, 3.3% had non-erosive esophagitis, 14.8% presented grade A erosive esophagitis, 8.9% had grade B, and 1.3% had grade C esophagitis. There were no cases of Barrett's esophagus. Forty-nine patients (10.7%) presented gastric twist. Comparing patients with and without gastric twist, it was possible to observe that the gastric twist group presented a higher incidence of grade C esophagitis (4.0% × 1.0%), p = 0.017. The correlation between the occurrence of gastric twist and esophagitis progression showed a prevalence ratio of 1.36 (95% CI 0.82-2.25). CONCLUSIONS: SG is responsible for an increase in the prevalence of erosive esophagitis, and the occurrence of gastric twist definitely plays a role on it, expressing a risk of 36% for esophagitis progression and being related to a higher incidence of severe esophagitis.
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Authors: Maria Inês Remígio; Fernando Santa Cruz; Álvaro Ferraz; Maria Cecília Remígio; Giordano Parente; Igor Nascimento; Daniella Brandão; Armele de Fatima Dornelas de Andrade; Fernando de Moraes Neto; Josemberg Campos Journal: Obes Surg Date: 2018-12 Impact factor: 4.129
Authors: Luciana T Siqueira; Fernando Santa-Cruz; João Paulo Pontual; Maria Amélia R Aquino; Luca T Dompieri; Flávio Kreimer; Álvaro A B Ferraz Journal: Arq Bras Cir Dig Date: 2022-06-24