Reflujo gastroesofágico patológico en pacientes con obesidad severa, mórbida e hiper obesidad

Background: Overweight can be a risk factor for pathological gastroesophageal reflux or hiatal hernia. Aim: To study the prevalence of gastroesophageal reflux in patients with severe obesity. Patients and methods: Sixty seven patients, 51 female, aged 17 to 56 years old with a body mass index over 3...

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Autores principales:	Csendes J,Attila, Burdiles P,Patricio, Rojas C,Jorge, Burgos L,Ana, Henríquez D,Ana
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2001
Materias:	Body mass index Esophageal motility disorders Obesity
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872001000900009
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spelling	oai:scielo:S0034-988720010009000092005-11-24Reflujo gastroesofágico patológico en pacientes con obesidad severa, mórbida e hiper obesidadCsendes J,AttilaBurdiles P,PatricioRojas C,JorgeBurgos L,AnaHenríquez D,Ana Body mass index Esophageal motility disorders Obesity Background: Overweight can be a risk factor for pathological gastroesophageal reflux or hiatal hernia. Aim: To study the prevalence of gastroesophageal reflux in patients with severe obesity. Patients and methods: Sixty seven patients, 51 female, aged 17 to 56 years old with a body mass index over 35 kg/m2, were studied. An upper gastrointestinal endoscopy was performed in all, esophageal manometry was done in 32 and 24 h pH monitoring was done in 32 patients. Results: Seventy nine percent of patients complained of heartburn and 66% of regurgitation. In 16 patients, endoscopy was normal. An erosive esophagitis was found in 33 patients, a short columnar epithelium in 12 and a Barret esophagus with intestinal metaplasia in six. Normal endoscopic findings and erosive esophagitis were present with a higher frequency in women. No association between the degree of obesity and esophageal lesions was observed. Lower esophageal sphincter pressure and abdominal length were significantly higher in subjects with a body mass index over 50 compared to those with a body mass index between 35 and 39.9 kg/m2. No differences were observed in 24 h pH monitoring. Conclusions: A high proportion of severely obese patients had symptoms and endoscopical findings of pathological gastroesophageal reflux (Rev Méd Chile 2001; 129: 1038-43info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.129 n.9 20012001-09-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872001000900009es10.4067/S0034-98872001000900009
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Body mass index Esophageal motility disorders Obesity
spellingShingle	Body mass index Esophageal motility disorders Obesity Csendes J,Attila Burdiles P,Patricio Rojas C,Jorge Burgos L,Ana Henríquez D,Ana Reflujo gastroesofágico patológico en pacientes con obesidad severa, mórbida e hiper obesidad
description	Background: Overweight can be a risk factor for pathological gastroesophageal reflux or hiatal hernia. Aim: To study the prevalence of gastroesophageal reflux in patients with severe obesity. Patients and methods: Sixty seven patients, 51 female, aged 17 to 56 years old with a body mass index over 35 kg/m2, were studied. An upper gastrointestinal endoscopy was performed in all, esophageal manometry was done in 32 and 24 h pH monitoring was done in 32 patients. Results: Seventy nine percent of patients complained of heartburn and 66% of regurgitation. In 16 patients, endoscopy was normal. An erosive esophagitis was found in 33 patients, a short columnar epithelium in 12 and a Barret esophagus with intestinal metaplasia in six. Normal endoscopic findings and erosive esophagitis were present with a higher frequency in women. No association between the degree of obesity and esophageal lesions was observed. Lower esophageal sphincter pressure and abdominal length were significantly higher in subjects with a body mass index over 50 compared to those with a body mass index between 35 and 39.9 kg/m2. No differences were observed in 24 h pH monitoring. Conclusions: A high proportion of severely obese patients had symptoms and endoscopical findings of pathological gastroesophageal reflux (Rev Méd Chile 2001; 129: 1038-43
author	Csendes J,Attila Burdiles P,Patricio Rojas C,Jorge Burgos L,Ana Henríquez D,Ana
author_facet	Csendes J,Attila Burdiles P,Patricio Rojas C,Jorge Burgos L,Ana Henríquez D,Ana
author_sort	Csendes J,Attila
title	Reflujo gastroesofágico patológico en pacientes con obesidad severa, mórbida e hiper obesidad
title_short	Reflujo gastroesofágico patológico en pacientes con obesidad severa, mórbida e hiper obesidad
title_full	Reflujo gastroesofágico patológico en pacientes con obesidad severa, mórbida e hiper obesidad
title_fullStr	Reflujo gastroesofágico patológico en pacientes con obesidad severa, mórbida e hiper obesidad
title_full_unstemmed	Reflujo gastroesofágico patológico en pacientes con obesidad severa, mórbida e hiper obesidad
title_sort	reflujo gastroesofágico patológico en pacientes con obesidad severa, mórbida e hiper obesidad
publisher	Sociedad Médica de Santiago
publishDate	2001
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872001000900009
work_keys_str_mv	AT csendesjattila reflujogastroesofagicopatologicoenpacientesconobesidadseveramorbidaehiperobesidad AT burdilesppatricio reflujogastroesofagicopatologicoenpacientesconobesidadseveramorbidaehiperobesidad AT rojascjorge reflujogastroesofagicopatologicoenpacientesconobesidadseveramorbidaehiperobesidad AT burgoslana reflujogastroesofagicopatologicoenpacientesconobesidadseveramorbidaehiperobesidad AT henriquezdana reflujogastroesofagicopatologicoenpacientesconobesidadseveramorbidaehiperobesidad
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Reflujo gastroesofágico patológico en pacientes con obesidad severa, mórbida e hiper obesidad

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