ENDOSCOPIC CHANGES RELATED TO GASTROESOPHAGEAL REFLUX DISEASE: COMPARATIVE STUDY AMONG BARIATRIC SURGERY PATIENTS.

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ENDOSCOPIC CHANGES RELATED TO GASTROESOPHAGEAL REFLUX DISEASE: COMPARATIVE STUDY AMONG BARIATRIC SURGERY PATIENTS.

Arq Bras Cir Dig. 2015;28 Suppl 1:36-8

Authors: Santo MA, Quintanilha SR, Mietti CA, Kawamoto FM, Marson AG, de Cleva R

Abstract
BACKGROUND: Obesity is correlated with several comorbidities, including gastroesophageal reflux disease. Its main complications are detectable by endoscopy: erosive esophagitis and Barrett's esophagus.
AIM: To correlate erosive esophagitis and hiatal hernia with the degree of body mass index (BMI).
METHOD: Was performed a retrospective analysis of 717 preoperative endoscopic reports of bariatric patients. Fifty-six (8%) presented hiatal hernia, being 44 small, nine medium and five large. Esophagitis was classified by Los Angeles classification.
RESULTS: There was no correlation between the presence and dimension of hiatal hernia with BMI. One hundred thirty-four (18.7%) patients presented erosive esophagitis. Among them, 104 (14.5%) had esophagitis grade A; 25 (3.5%) grade B; and five (0.7%) grade C. When considering only the patients with erosive esophagitis, 77.6% had esophagitis grade A, 18.7% grade B and 3.7% grade C. Were identified only two patients with Barrett's esophagus (0,28%).
CONCLUSION: There was a positive correlation between the degree of esophagitis with increasing BMI.

PMID: 26537271 [PubMed - indexed for MEDLINE]

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