{"id":13468,"date":"2022-09-15T07:00:00","date_gmt":"2022-09-15T07:00:00","guid":{"rendered":"https:\/\/endoscopiaterapeutica.net\/pt\/?p=13468"},"modified":"2023-08-22T19:48:15","modified_gmt":"2023-08-22T19:48:15","slug":"doenca-do-refluxo-gastroesofagico-no-paciente-com-obesidade","status":"publish","type":"post","link":"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/doenca-do-refluxo-gastroesofagico-no-paciente-com-obesidade\/","title":{"rendered":"Doen\u00e7a do refluxo gastroesof\u00e1gico no paciente com obesidade"},"content":{"rendered":"\n<p>A Doen\u00e7a do Refluxo Gastroesof\u00e1gico (DRGE) \u00e9 bastante comum na popula\u00e7\u00e3o geral, com preval\u00eancia de 10 a 20%. Nos pacientes com obesidade essa preval\u00eancia chega a ser o dobro.<\/p>\n\n\n\n<p>Os mecanismos envolvidos no aumento do risco de DRGE na obesidade s\u00e3o devidos ao aumento da press\u00e3o abdominal, levando a:<\/p>\n\n\n\n<ul class=\"has-normal-font-size wp-block-list\">\n<li>Aumento do relaxamento transit\u00f3rio do esf\u00edncter inferior do es\u00f4fago<\/li>\n\n\n\n<li>H\u00e9rnia de hiato<\/li>\n\n\n\n<li>Diminui\u00e7\u00e3o do clearence esof\u00e1gico<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-\"><\/h2>\n\n\n\n<p>A preval\u00eancia da DRGE est\u00e1 diretamente relacionada \u00e0 gravidade da obesidade e ao IMC (\u00cdndice de Massa Corp\u00f3rea). Pacientes com obesidade (IMC &gt; 30) t\u00eam mais epis\u00f3dios de refluxo e pior escore de DeMeester do que aqueles com sobrepeso (IMC &gt; 25). Em candidatos \u00e0 cirurgia bari\u00e1trica, aqueles com IMC &gt; 50 t\u00eam esofagite erosiva com maior preval\u00eancia aos com IMC &gt; 40 e assim sucessivamente. Apesar disso, \u00e9 incomum o achado de esofagite grave (C\/D) ou at\u00e9 mesmo o diagn\u00f3stico de Es\u00f4fago de Barrett.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-como-deve-ser-a-investigacao-da-drge-no-pre-operatorio-da-cirurgia-bariatrica\"><strong>Como deve ser a investiga\u00e7\u00e3o da DRGE no pr\u00e9-operat\u00f3rio da cirurgia bari\u00e1trica?<\/strong><\/h3>\n\n\n\n<p>Apesar de ser rotina na maioria dos servi\u00e7os de bari\u00e1trica no Brasil, at\u00e9 recente havia grande controv\u00e9rsia na literatura internacional em rela\u00e7\u00e3o \u00e0 Endoscopia Digestiva Alta (EDA) no preparo para a cirurgia bari\u00e1trica.<\/p>\n\n\n\n<p>A recomenda\u00e7\u00e3o atual conforme consenso de sociedade internacional \u00e9 o seguinte:<\/p>\n\n\n\n<ul class=\"has-normal-font-size wp-block-list\">\n<li>EDA deve ser considerada para todos os pacientes com sintomas gastrointestinais que planejam realizar cirurgia bari\u00e1trica devido \u00e0 frequ\u00eancia de achados que podem mudar conduta<\/li>\n\n\n\n<li>EDA deve ser considerada tamb\u00e9m para aqueles sem sintomas devido \u00e0 chance de 25% de achados endosc\u00f3picos incidentais que podem mudar conduta ou at\u00e9 contraindicar a cirurgia bari\u00e1trica<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-como-a-presenca-de-drge-influencia-na-escolha-tecnica-da-bariatrica\"><strong>Como a presen\u00e7a de DRGE influencia na escolha t\u00e9cnica da bari\u00e1trica?<\/strong><\/h2>\n\n\n\n<p>Atualmente a Gastrectomia Vertical (GV) \u00e9 a cirurgia bari\u00e1trica mais realizada no mundo. Entretanto, com seguimento a longo prazo, temos visto com maior frequ\u00eancia casos com DRGE no p\u00f3s-operat\u00f3rio. Em algumas situa\u00e7\u00f5es, muito sintom\u00e1tico e refrat\u00e1rio \u00e0 tratamento cl\u00ednico, com necessidade de cirurgia revisional para convers\u00e3o ao Bypass G\u00e1strico em Y-de-Roux (BGYR).<\/p>\n\n\n\n<p>N\u00e3o h\u00e1 conduto, evid\u00eancias fortes em rela\u00e7\u00e3o a fatores de risco no pr\u00e9-operat\u00f3rio que possam prever quais pacientes v\u00e3o evoluir com refluxo de novo. Sabemos somente que aqueles com DRGE patol\u00f3gica, conforme crit\u00e9rios de Lyon, tendem a piorar ap\u00f3s a GV.<\/p>\n\n\n\n<p>Por tudo isso, a presen\u00e7a de DRGE deve ser ponderada na decis\u00e3o conjunta com o paciente entre GV ou Bypass. De modo geral, mas n\u00e3o obrigatoriamente, devemos favorecer Bypass G\u00e1strico em caso de:<\/p>\n\n\n\n<ul class=\"has-normal-font-size wp-block-list\">\n<li>Esofagite Erosiva graus C ou D de Los Angeles<\/li>\n\n\n\n<li>Es\u00f4fago de Barrett<\/li>\n\n\n\n<li>H\u00e9rnia de hiato<\/li>\n\n\n\n<li>Altera\u00e7\u00f5es motoras do es\u00f4fago<\/li>\n<\/ul>\n\n\n\n<p><\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-para-saber-mais-sobre-este-tema-e-outros-relacionados-acesse-o-site-gastropedia-clicando-aqui\"><a href=\"https:\/\/gastropedia.com.br\/cirurgia\/obesidade\/obesidade-conceito-consequencia-classificacao\/\">Para saber mais sobre este tema e outros relacionados, acesse o site Gastropedia clicando aqui!<\/a><\/h3>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-referencias\"><strong>Referencias:<\/strong><\/h2>\n\n\n\n<ol class=\"has-normal-font-size wp-block-list\">\n<li>Ayazi S, Hagen JA, Chan LS, DeMeester SR, Lin MW, Ayazi A, Leers JM, Oezcelik A, Banki F, Lipham JC, DeMeester TR, Crookes PF. Obesity and gastroesophageal reflux: quantifying the association between body mass index, esophageal acid exposure, and lower esophageal sphincter status in a large series of patients with reflux symptoms. J Gastrointest Surg. 2009 Aug;13(8):1440-7.<\/li>\n\n\n\n<li>Derakhshan MH, Robertson EV, Fletcher J, Jones GR, Lee YY, Wirz AA, McColl KE. Mechanism of association between BMI and dysfunction of the gastro-oesophageal barrier in patients with normal endoscopy. Gut. 2012 Mar;61(3):337-43.<\/li>\n\n\n\n<li>Brown WA, Johari Halim Shah Y, Balalis G, Bashir A, Ramos A, Kow L, Herrera M, Shikora S, Campos GM, Himpens J, Higa K. IFSO Position Statement on the Role of Esophago-Gastro-Duodenal Endoscopy Prior to and after Bariatric and Metabolic Surgery Procedures. Obes Surg. 2020 Aug;30(8):3135-3153. doi: 10.1007\/s11695-020-04720-z. PMID: 32472360.<\/li>\n\n\n\n<li>Bolckmans, R., Roriz-Silva, R., Mazzini, G.S. <em>et al.<\/em> Long-Term Implications of GERD After Sleeve Gastrectomy. <em>Curr Surg Rep<\/em> <strong>9, <\/strong>7 (2021).<\/li>\n\n\n\n<li>Sebastianelli L, Benois M, Vanbiervliet G, Bailly L, Robert M, Turrin N, Gizard E, Foletto M, Bisello M, Albanese A, Santonicola A, Iovino P, Piche T, Angrisani L, Turchi L, Schiavo L, Iannelli A. Systematic Endoscopy 5 Years After Sleeve Gastrectomy Results in a High Rate of Barrett&#8217;s Esophagus: Results of a Multicenter Study. Obes Surg. 2019 May;29(5):1462-1469.<\/li>\n<\/ol>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-como-citar-este-artigo\"><strong>Como citar este artigo<\/strong><\/h2>\n\n\n\n<p>Dantas, A. Doen\u00e7a do refluxo gastroesof\u00e1gico no paciente com obesidade. Gastropedia; 2022 Dispon\u00edvel em: https:\/\/endoscopiaterapeutica.net\/pt\/?p=13468<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-\"><\/h2>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-\"><\/h3>\n","protected":false},"excerpt":{"rendered":"<p>A Doen\u00e7a do Refluxo Gastroesof\u00e1gico (DRGE) \u00e9 bastante comum na popula\u00e7\u00e3o geral, com preval\u00eancia&hellip;<\/p>\n","protected":false},"author":5589,"featured_media":6077,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":"","footnotes":""},"categories":[151],"tags":[474,473,475],"ano":[309],"tipo":[158],"volume":[147],"class_list":["post-13468","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-assuntosgerais","tag-drge","tag-obesidade","tag-refluxo","ano-309","tipo-endoscopia-bariatrica","volume-volume-ii"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.2 (Yoast SEO v27.2) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Doen\u00e7a do refluxo gastroesof\u00e1gico no paciente com obesidade &#8226; Endoscopia Terapeutica<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/doenca-do-refluxo-gastroesofagico-no-paciente-com-obesidade\/\" \/>\n<meta property=\"og:locale\" content=\"pt_BR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Doen\u00e7a do refluxo gastroesof\u00e1gico no paciente com obesidade\" \/>\n<meta property=\"og:description\" content=\"A Doen\u00e7a do Refluxo Gastroesof\u00e1gico (DRGE) \u00e9 bastante comum na popula\u00e7\u00e3o geral, com preval\u00eancia de 10 a 20%. 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