%0 Journal Article
%T Efectos del bypass g¨¢strico en el es¨®fago de Barrett de pacientes con obesidad m¨®rbida
%A Pereira C
%A Nicol¨¢s
%A Csendes J
%A Attila
%A Smok S
%A Gladys
%A Burgos L
%A Ana Mar¨ªa
%A N¨²£¿ez B
%A Solange
%J Revista chilena de cirug¨ªa
%D 2012
%I Scientific Electronic Library Online
%R 10.4067/S0718-40262012000200008
%X background: besides the weight reducing effects of gastric bypass, it is also a good antireflux procedure since there is no acid production by the gastric pouch and there is no duodenal reflux due to the presence of a roux en y. aim: to describe the effect of gastric bypass on barrett esophagus among patients with morbid obesity. material and methods: among 896 patients subjected to gastric bypass, 14 patient with a barrett esophagus diagnosed with endoscopy and biopsy, were followed. a new endoscopy was performed one to 30 months after the surgical procedure. results: short (< = 30 mm) and long segment (> = 31 mm) barrett esophagi were present in eight and six patients, respectively. gastroesophageal reflux symptoms relieved in 70% of these cases in a mean lapse of 6.5 months. there was regression from intestinal metaplasia to car-dial mucosa in six patients (75%) with short-segment, and in one patient (16%) with long-segment barrett esophagus. conclusions: gastric bypass in patients with morbid obesity and barrett esophagus is a very good antireflux operation. this was proved by the disappearance of symptoms in almost all patients and by the regression of the intestinal metaplasia which is time and length dependent.
%K gastric bypass
%K barrett esophagus
%K morbid obesity.
%U http://www.scielo.cl/scielo.php?script=sci_abstract&pid=S0718-40262012000200008&lng=en&nrm=iso&tlng=en