Please use this identifier to cite or link to this item: http://repositorio.unicamp.br/jspui/handle/REPOSIP/194391
Full metadata record
DC FieldValueLanguage
dc.contributor.CRUESPUNIVERSIDADE DE ESTADUAL DE CAMPINASpt_BR
dc.typeArtigo de periódicopt_BR
dc.titleAntireflux Surgery Followed By Bipolar Electrocoagulation In The Treatment Of Barrett's Esophagus.pt_BR
dc.contributor.authorMontes, C Gpt_BR
dc.contributor.authorBrandalise, N Apt_BR
dc.contributor.authorDeliza, Rpt_BR
dc.contributor.authorNovais de Magalhães, A Fpt_BR
dc.contributor.authorFerraz, J Gpt_BR
unicamp.authorC G Montes, Department of Internal Medicine, Faculty of Medical Sciences, State University of Campinas-UNICAMP, Brazil.pt_BR
unicamp.author.externalN A Brandalise,pt
unicamp.author.externalR Deliza,pt
unicamp.author.externalA F Novais de Magalhães,pt
unicamp.author.externalJ G Ferraz,pt
dc.subjectAdolescentpt_BR
dc.subjectAdultpt_BR
dc.subjectAgedpt_BR
dc.subjectBarrett Esophaguspt_BR
dc.subjectBiopsypt_BR
dc.subjectElectrocoagulationpt_BR
dc.subjectEndoscopypt_BR
dc.subjectEpitheliumpt_BR
dc.subjectEsophagitis, Pepticpt_BR
dc.subjectEsophagoscopypt_BR
dc.subjectEsophaguspt_BR
dc.subjectFemalept_BR
dc.subjectFollow-up Studiespt_BR
dc.subjectFundoplicationpt_BR
dc.subjectHumanspt_BR
dc.subjectLaparoscopypt_BR
dc.subjectMalept_BR
dc.subjectMiddle Agedpt_BR
dc.subjectReoperationpt_BR
dc.subjectTreatment Outcomept_BR
dc.description.abstractManagement of Barrett's esophagus requires reduction of gastric acid secretion and screening for the development of adenocarcinoma. However, the current therapeutic options are ineffective in reducing the Barrett's mucosa. The aim of this study was to evaluate the effectiveness of endoscopic thermal coagulation of Barrett's mucosa as an alternative therapeutic approach and the recurrence of the disease in the long term. Fourteen patients (11 men, 3 women; mean age 45.7 years) with Barrett's esophagus participated in the study. They underwent laparoscopic fundoplication and were symptom free with no defective fundoplication wraps before therapeutic endoscopy. Endoscopic thermocoagulation was performed with a flexible videoendoscope and a bipolar probe. Mucosal areas were treated once a month until the Barrett's mucosa disappeared. Endoscopy was performed 1 and 7 months after completion of the treatments and once a year thereafter. The mean follow-up period was 21.6 months (range 18 to 30 months). The mean length of Barrett's esophagus was 4.8 cm. Successful ablation of the columnar epithelium was achieved in 3.7 sessions, as defined by demonstration of normal squamous epithelium at histologic examination of biopsy samples collected after completion of the treatments and at follow-up evaluations. Three patients experienced short-term (10 days) odynophagia or dysphagia. All patients were symptom free with no evidence of Barrett's esophagus at the end of the study. Bipolar electrocoagulation after antireflux operations is effective in promoting regression of Barrett's esophagus and has few complications. Endoscopic thermal coagulation might reduce risk for adenocarcinoma among these patients.en
dc.relation.ispartofGastrointestinal Endoscopypt_BR
dc.relation.ispartofabbreviationGastrointest. Endosc.pt_BR
dc.date.issued1999-Augpt_BR
dc.identifier.citationGastrointestinal Endoscopy. v. 50, n. 2, p. 173-7, 1999-Aug.pt_BR
dc.language.isoengpt_BR
dc.description.volume50pt_BR
dc.description.firstpage173-7pt_BR
dc.rightsfechadopt_BR
dc.rights.holderpt_BR
dc.sourcePubMedpt_BR
dc.identifier.issn0016-5107pt_BR
dc.identifier.doipt_BR
dc.identifier.urlhttp://www.ncbi.nlm.nih.gov/pubmed/10425408pt_BR
dc.date.available2015-11-27T12:19:39Z-
dc.date.accessioned2015-11-27T12:19:39Z-
dc.description.provenanceMade available in DSpace on 2015-11-27T12:19:39Z (GMT). No. of bitstreams: 1 pmed_10425408.pdf: 799563 bytes, checksum: de8097d8aadb97d2faf10ed546c1fe13 (MD5) Previous issue date: 1999en
dc.identifier.urihttp://repositorio.unicamp.br/jspui/handle/REPOSIP/194391-
dc.identifier.idPubmed10425408pt_BR
Appears in Collections:Unicamp - Artigos e Outros Documentos

Files in This Item:
File SizeFormat 
pmed_10425408.pdf780.82 kBAdobe PDFView/Open


Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.