Qualidade de vida do paciente submetido à cirurgia videolaparoscópica para tratamento para doença do refluxo gastroesofágico

Andrade, Francisco José Cavalcante; Almeida, Eliete Rodrigues de; Santos, Maria Teresa Botti Rodrigues; Soares-Filho, Eurípedes; Lopes, João Batista; Silva, Roberto Cavalcante Veras e

doi:10.1590/s0102-67202012000300004

Cited by 2 publications

(2 citation statements)

References 24 publications

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“…Symptom persistence requires endoscopic dilation or even a new surgery, with resulting total remission. Andrade et al (2012) 2 analyzed the quality of life of 43 patients submitted to surgical GERD treatment and reported that 58.1% were very satisfied and 37.2% were satisfied with the result.…”

Section: Methodsmentioning

confidence: 99%

Diagnosis and management of gastroesophageal reflux disease

Henry¹

2014

ABCD, arq. bras. cir. dig.

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IntroductionGastroesophageal reflux disease (GERD) is probably one of the most prevalent diseases in the world that also compromises the quality of life of the affected significantly. Its incidence in Brazil is 12%, corresponding to 20 million individuals.ObjectiveTo update the GERD management and the new trends on diagnosis and treatment, reviewing the international and Brazilian experience on it.MethodThe literature review was based on papers published on Medline/Pubmed, SciELO, Lilacs, Embase and Cochrane crossing the following headings: gastroesophageal reflux disease, diagnosis, clinical treatment, surgery, fundoplication.ResultsVarious factors are involved on GERD physiopathology, the most important being the transient lower esophageal sphincter relaxation. Clinical manifestations are heartburn, regurgitation (typical symptoms), cough, chest pain, asthma, hoarseness and throat clearing (atypical symptoms), which may be followed or not by typical symptoms. GERD patients may present complications such as peptic stenosis, hemorrhage, and Barrett's esophagus, which is the most important predisposing factor to adenocarcinoma. The GERD diagnosis must be based on the anamnesis and the symptoms must be evaluated in terms of duration, intensity, frequency, triggering and relief factors, pattern of evolution and impact on the patient's quality of life. The diagnosis requires confirmation with different exams. The goal of the clinical treatment is to relieve the symptoms and surgical treatment is indicated for patients who require continued drug use, with intolerance to prolonged clinical treatment and with GERD complications.ConclusionGERD is a major digestive health problem and affect 12% of Brazilian people. The anamnesis is fundamental for the diagnosis of GERD, with special analysis of the typical and atypical symptoms (duration, intensity, frequency, triggering and relief factors, evolution and impact on the life quality). High digestive endoscopy and esophageal pHmetry are the most sensitive diagnosctic methods. The clinical treatment is useful in controlling the symptoms; however, the great problem is keeping the patients asymptomatic over time. Surgical treatment is indicated for patients who required continued drug use, intolerant to the drugs and with complicated forms of GERD.

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Section: Methodsmentioning

confidence: 99%

Diagnosis and management of gastroesophageal reflux disease

Henry¹

2014

ABCD, arq. bras. cir. dig.

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“…Todas as medidas terapêuticas buscam melhorar a função motora do esôfago, aumentar a pressão do esfíncter esofágico inferior, assim como reduzir o prejuízo causado pela acidez gástrica, neutralizando-a ou mesmo suprimindo--a, contudo, como já mencionado, o maior empecilho no tratamento é manter os pacientes assintomáticos, visto que mesmo após o tratamento cirúrgico feito através de laparoscopia, ainda há queixas reincidentes de disfagia, dificuldade para eructar, flatulência e diarreia (KLAUS et al, 2003;PEREI-RA, et al, 2007;ANDRADE et al, 2012).…”

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A Conduta Dietoterápica No Tratamento Da Doença Do Refluxo Gastroesofágico – Relato De Caso

Aparecido-Gonçalves

Amaral

Soares

et al. 2016

Arq. Ciênc. Saúde Unipar

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APARECIDO-GONÇALVES, T. dos S.; AMARAL, P. F. G. P. do; SOARES, A. A.; RODRIGUES, M. de L.; BERTINELI, L. M. S.; GERMANO, R. de M. A conduta dietoterápica no tratamento da doença do refluxo gastroesofágico -relato de caso. Arq. Cienc. Saúde UNIPAR, Umuarama, v. 20, n. 3, p, 199-203, set./dez. 2016. RESUMO:A doença do refluxo gastroesofágico é causada pela redução da pressão do esfíncter esofágico inferior e pode ser agravado por fracionamento inadequado da dieta e pela produção de espécies reativas ao oxigênio. Os tratamentos medicamentosos e cirúrgicos se destacam, contudo, existem opções de terapêutica não farmacológica, como as vitaminas e minerais com funções antioxidantes, atuam como adjuvantes neste tipo de tratamento. Portanto, este trabalho teve como objetivo avaliar as funções das vitaminas e minerais suplementados junto à dieta fracionada, prescritas a uma paciente de cirurgia de hérnia de hiato, e a diminuição do quadro de esofagite. A paciente chegou com quadro de esofagite de refluxo, disfagia, dores na região gástrica e distensão abdominal. Como conduta foi adotada a suplementação com piridoxina 30mg, zinco quelato 20 mg e ácido pantotênico 20 mg e vitamina C revestida 200 mg, assim como aumento do fracionamento da dieta, refletindo na redução do volume das refeições para amenizar desconfortos gástricos. O fracionamento adequado da dieta, a redução do volume das refeições e a suplementação atuam de maneira eficaz na melhoria do quadro da DRGE. Cabe destacar que é papel do nutricionista garantir a adesão do paciente ao tratamento para não haver recidivas de sintomas. PALAVRAS-CHAVE: Esofagite. Fracionamento dietético. Suplementação alimentar. DIETARY CONDUCT IN THE TREATMENT OF GASTROESOPHAGEAL REFLUX DISEASE -CASE REPORT ABSTRACT:The gastroesophageal reflux disease is caused by the reduction of the pressure on the lower esophageal sphincter and could be aggravated by inadequate division of the diet and by the production of species that are reactive to oxygen. Medical and surgical treatments are emphasized, but there are also non-pharmacological therapeutic options, such as vitamins and minerals with antioxidant function, acting as adjuvants in this kind of treatment. Therefore, this paper has the purpose of assessing the functions of supplemented vitamin and minerals with a fractionated diet, prescribed to a surgical patient with hiatal hernia, and the reduction of esophagitis. The patient arrived complaining of esophagitis reflux, dysphagia, pain in the gastric region and abdominal distension. Supplementation with 30mg pyridoxine, 20mg zinc chelate and 20mg pantothenic acid was prescribed as treatment, as well as 200mg coated vitamin C tablet, as well as increasing the diet division to reflect the reduction of meal volumes to sooth gastric discomforts. The appropriate fragmentation of the diet, the reduction of meal volumes and the supplementation were effective to improve the GERD condition. It is important to mention that the role of the nutritionist is to ensure the patient adheres to the treat...

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Qualidade de vida do paciente submetido à cirurgia videolaparoscópica para tratamento para doença do refluxo gastroesofágico

Cited by 2 publications

References 24 publications

Diagnosis and management of gastroesophageal reflux disease

Diagnosis and management of gastroesophageal reflux disease

A Conduta Dietoterápica No Tratamento Da Doença Do Refluxo Gastroesofágico – Relato De Caso

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