Prevalence of cholelithiasis in patients with chagasic megaesophagus
INTRODUCTION: The prevalence of cholelithiasis in the general population ranges from 9 to 18%. This prevalence is known to be higher in the presence of parasympathetic nerve damage of the biliary tract either due to surgery (vagotomy) or neuronal destruction (Chagas disease). The objective of this s...
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ftdoajarticles:oai:doaj.org/article:7c45362c25674c37af0015dd12d4546c 2023-05-15T15:10:30+02:00 Prevalence of cholelithiasis in patients with chagasic megaesophagus Eduardo Crema Ellen Caroline Rosa Resende Silva Priscila Melo Franciscon Virmondes Rodrigues Júnior Aiodair Martins Júnior Celso Júnior Oliveira Teles Alex Augusto Silva 2011-06-01T00:00:00Z https://doi.org/10.1590/s0037-86822011005000043 https://doaj.org/article/7c45362c25674c37af0015dd12d4546c EN eng Sociedade Brasileira de Medicina Tropical (SBMT) http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822011000300012&lng=en&tlng=en https://doaj.org/toc/1678-9849 1678-9849 doi:10.1590/s0037-86822011005000043 https://doaj.org/article/7c45362c25674c37af0015dd12d4546c Revista da Sociedade Brasileira de Medicina Tropical, Vol 44, Iss 3, Pp 324-326 (2011) Doença de Chagas Colelitíase Megaesôfago Desnervação da vesícula biliar Arctic medicine. Tropical medicine RC955-962 article 2011 ftdoajarticles https://doi.org/10.1590/s0037-86822011005000043 2022-12-30T23:06:02Z INTRODUCTION: The prevalence of cholelithiasis in the general population ranges from 9 to 18%. This prevalence is known to be higher in the presence of parasympathetic nerve damage of the biliary tract either due to surgery (vagotomy) or neuronal destruction (Chagas disease). The objective of this study was to evaluate the association of cholelithiasis and chagasic or idiopathic megaesophagus. METHODS: The ultrasound scans of 152 patients with megaesophagus submitted to cardiomyotomy and subtotal esophagectomy surgery were evaluated. The presence of cholelithiasis was compared between chagasic and idiopathic esophagopathy and ultrasound and clinical findings were correlated with age, sex and race. RESULTS: A total of 152 cases of megaesophagus, including 137 with chagasic megaesophagus and 15 with idiopathic megaesophagus, were analyzed. The mean age was 56.7 years (45-67) in the 137 patients with chagasic megaesophagus and 35.6 years (27-44) in the 15 cases of idiopathic megaesophagus, with a significant difference between the two groups (p < 0.0001). The group with chagasic megaesophagus consisted of 59 (43%) women and 78 (56.9%) men, while the group with idiopathic megaesophagus consisted of 8 (53.3%) women and 7 (46.6%) men, showing no significant difference between the groups. Of the 137 patients with confirmed chagasic megaesophagus, 39 (28.4%) presented cholelithiasis versus one case (6.6%) in the 15 patients with idiopathic megaesophagus. CONCLUSIONS: The prevalence of cholelithiasis is high in patients with chagasic megaesophagus and preoperative ultrasound should be performed routinely in these patients in order to treat both conditions during the same surgical procedure. Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Revista da Sociedade Brasileira de Medicina Tropical 44 3 324 326 |
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Directory of Open Access Journals: DOAJ Articles |
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English |
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Doença de Chagas Colelitíase Megaesôfago Desnervação da vesícula biliar Arctic medicine. Tropical medicine RC955-962 |
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Doença de Chagas Colelitíase Megaesôfago Desnervação da vesícula biliar Arctic medicine. Tropical medicine RC955-962 Eduardo Crema Ellen Caroline Rosa Resende Silva Priscila Melo Franciscon Virmondes Rodrigues Júnior Aiodair Martins Júnior Celso Júnior Oliveira Teles Alex Augusto Silva Prevalence of cholelithiasis in patients with chagasic megaesophagus |
topic_facet |
Doença de Chagas Colelitíase Megaesôfago Desnervação da vesícula biliar Arctic medicine. Tropical medicine RC955-962 |
description |
INTRODUCTION: The prevalence of cholelithiasis in the general population ranges from 9 to 18%. This prevalence is known to be higher in the presence of parasympathetic nerve damage of the biliary tract either due to surgery (vagotomy) or neuronal destruction (Chagas disease). The objective of this study was to evaluate the association of cholelithiasis and chagasic or idiopathic megaesophagus. METHODS: The ultrasound scans of 152 patients with megaesophagus submitted to cardiomyotomy and subtotal esophagectomy surgery were evaluated. The presence of cholelithiasis was compared between chagasic and idiopathic esophagopathy and ultrasound and clinical findings were correlated with age, sex and race. RESULTS: A total of 152 cases of megaesophagus, including 137 with chagasic megaesophagus and 15 with idiopathic megaesophagus, were analyzed. The mean age was 56.7 years (45-67) in the 137 patients with chagasic megaesophagus and 35.6 years (27-44) in the 15 cases of idiopathic megaesophagus, with a significant difference between the two groups (p < 0.0001). The group with chagasic megaesophagus consisted of 59 (43%) women and 78 (56.9%) men, while the group with idiopathic megaesophagus consisted of 8 (53.3%) women and 7 (46.6%) men, showing no significant difference between the groups. Of the 137 patients with confirmed chagasic megaesophagus, 39 (28.4%) presented cholelithiasis versus one case (6.6%) in the 15 patients with idiopathic megaesophagus. CONCLUSIONS: The prevalence of cholelithiasis is high in patients with chagasic megaesophagus and preoperative ultrasound should be performed routinely in these patients in order to treat both conditions during the same surgical procedure. |
format |
Article in Journal/Newspaper |
author |
Eduardo Crema Ellen Caroline Rosa Resende Silva Priscila Melo Franciscon Virmondes Rodrigues Júnior Aiodair Martins Júnior Celso Júnior Oliveira Teles Alex Augusto Silva |
author_facet |
Eduardo Crema Ellen Caroline Rosa Resende Silva Priscila Melo Franciscon Virmondes Rodrigues Júnior Aiodair Martins Júnior Celso Júnior Oliveira Teles Alex Augusto Silva |
author_sort |
Eduardo Crema |
title |
Prevalence of cholelithiasis in patients with chagasic megaesophagus |
title_short |
Prevalence of cholelithiasis in patients with chagasic megaesophagus |
title_full |
Prevalence of cholelithiasis in patients with chagasic megaesophagus |
title_fullStr |
Prevalence of cholelithiasis in patients with chagasic megaesophagus |
title_full_unstemmed |
Prevalence of cholelithiasis in patients with chagasic megaesophagus |
title_sort |
prevalence of cholelithiasis in patients with chagasic megaesophagus |
publisher |
Sociedade Brasileira de Medicina Tropical (SBMT) |
publishDate |
2011 |
url |
https://doi.org/10.1590/s0037-86822011005000043 https://doaj.org/article/7c45362c25674c37af0015dd12d4546c |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Revista da Sociedade Brasileira de Medicina Tropical, Vol 44, Iss 3, Pp 324-326 (2011) |
op_relation |
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822011000300012&lng=en&tlng=en https://doaj.org/toc/1678-9849 1678-9849 doi:10.1590/s0037-86822011005000043 https://doaj.org/article/7c45362c25674c37af0015dd12d4546c |
op_doi |
https://doi.org/10.1590/s0037-86822011005000043 |
container_title |
Revista da Sociedade Brasileira de Medicina Tropical |
container_volume |
44 |
container_issue |
3 |
container_start_page |
324 |
op_container_end_page |
326 |
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1766341529911164928 |