Associação entre o achado de cárdia incompetente à endoscopia digestiva alta e presença de esofagite de refluxo


Autoria(s): Machado, Wellington Monteiro; Xavier, Marcela Vieira; Neto, Pedro Padula; Padovani, Carlos Roberto
Contribuinte(s)

Universidade Estadual Paulista (UNESP)

Data(s)

27/05/2014

27/05/2014

01/01/2005

Resumo

Incompetent cardia (IC) or loose cardia is not uncommon at endoscopic examination but its meaning is not clear. Such incompetence could facilitate gastroesophageal reflux and the appearance of esophagitis as a consequence. The aim of this study is to investigate if there is an association between IC and reflux esophagitis (RE). A review was made of 395 consecutive endoscopic reports of adult males and females performed at the Botucatu Clinics Hospital, of the Unesp - University of the State of São Paulo. Diagnosis of IC is defined by the endoscopic image in which the cardia is partially opened and/or involves the endoscope in a loose manner. Esophagitis characterization was based in the Los Angeles classification. The statistical analysis showed a significant association between CI and RE (p < 0.0001). Although there is not a clear explanation for this association, some hypotheses could be suggested involving hypotonic LES, diaphragmatic crura ineffectiveness and TLESR disorders as conditions able not only to keep the cardia relaxed but also to the reflux followed by esophagitis.

Formato

11-14

Identificador

GED - Gastrenterologia Endoscopia Digestiva, v. 24, n. 1, p. 11-14, 2005.

0101-7772

http://hdl.handle.net/11449/68107

2-s2.0-21844474036

Idioma(s)

por

Relação

GED - Gastrenterologia Endoscopia Digestiva

Direitos

closedAccess

Palavras-Chave #Incompetent cardia #Loose cardia #Reflux esophagitis #adult #Brazil #diaphragm #endoscopy #female #gastroesophageal reflux #human #lower esophagus sphincter #major clinical study #male #muscle hypotonia #reflux esophagitis #retrospective study
Tipo

info:eu-repo/semantics/article