Esôfago de barrett após gastrectomia total com reconstrução em Y de roux
Reflux esophagitis and Barrett's esophagus after total gastrectomy is related to reconstructive procedure of intestinal continuity. The Roux-en-Y operation with length of limb of 40 cm occasionally is not enough to prevent biliary reflux to distal esophagus. Barrett's esophagus is thought to develop as a consequence of biliary reflux and has a malignant potential. Symptoms of retroesternal burning and dysphagia that does not improve with conservative management has to be treated by an operative procedure. To prevent biliary reflux to distal esophagus after total gastrectomy the lenght of limb of Roux-en-Y should be at lest 60 cm.
Saved in:
| Main Authors: | , , |
|---|---|
| Format: | Digital revista |
| Language: | Portuguese |
| Published: |
Colégio Brasileiro de Cirurgiões
2002
|
| Online Access: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912002000200012 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|