Prevalence of cholelithiasis in patients with chagasic megaesophagus Prevalência de colelitíase em pacientes com megaesôfago chagásico
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...
Main Authors: | , , , , , , |
---|---|
Format: | Article in Journal/Newspaper |
Language: | English |
Published: |
Sociedade Brasileira de Medicina Tropical (SBMT)
2011
|
Subjects: | |
Online Access: | https://doaj.org/article/b65542f78b8a473e88e007ae4b5d1baf |
id |
ftdoajarticles:oai:doaj.org/article:b65542f78b8a473e88e007ae4b5d1baf |
---|---|
record_format |
openpolar |
spelling |
ftdoajarticles:oai:doaj.org/article:b65542f78b8a473e88e007ae4b5d1baf 2023-05-15T15:16:19+02:00 Prevalence of cholelithiasis in patients with chagasic megaesophagus Prevalência de colelitíase em pacientes com megaesôfago chagásico 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://doaj.org/article/b65542f78b8a473e88e007ae4b5d1baf EN eng Sociedade Brasileira de Medicina Tropical (SBMT) http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822011000300012 https://doaj.org/toc/0037-8682 https://doaj.org/toc/1678-9849 0037-8682 1678-9849 https://doaj.org/article/b65542f78b8a473e88e007ae4b5d1baf Revista da Sociedade Brasileira de Medicina Tropical, Vol 44, Iss 3, Pp 324-326 (2011) Doença de Chagas Colelitíase Megaesôfago Desnervação da vesícula biliar Chagas disease Cholelithiasis Megaesophagus Gallbladder denervation Arctic medicine. Tropical medicine RC955-962 article 2011 ftdoajarticles 2022-12-30T23:08:09Z 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. INTRODUÇÃO: A prevalência de colelitíase observada na população em geral varia de 9 a 18%. Sabe-se que a prevalência de colelitíase é elevada quando existe lesão nervosa parassimpática das vias biliares, causada tanto por procedimentos cirúrgicos (vagotomias),quanto por destruição neuronal, como observado na forma digestiva da ... Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic |
institution |
Open Polar |
collection |
Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English |
topic |
Doença de Chagas Colelitíase Megaesôfago Desnervação da vesícula biliar Chagas disease Cholelithiasis Megaesophagus Gallbladder denervation Arctic medicine. Tropical medicine RC955-962 |
spellingShingle |
Doença de Chagas Colelitíase Megaesôfago Desnervação da vesícula biliar Chagas disease Cholelithiasis Megaesophagus Gallbladder denervation 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 Prevalência de colelitíase em pacientes com megaesôfago chagásico |
topic_facet |
Doença de Chagas Colelitíase Megaesôfago Desnervação da vesícula biliar Chagas disease Cholelithiasis Megaesophagus Gallbladder denervation 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. INTRODUÇÃO: A prevalência de colelitíase observada na população em geral varia de 9 a 18%. Sabe-se que a prevalência de colelitíase é elevada quando existe lesão nervosa parassimpática das vias biliares, causada tanto por procedimentos cirúrgicos (vagotomias),quanto por destruição neuronal, como observado na forma digestiva da ... |
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 Prevalência de colelitíase em pacientes com megaesôfago chagásico |
title_short |
Prevalence of cholelithiasis in patients with chagasic megaesophagus Prevalência de colelitíase em pacientes com megaesôfago chagásico |
title_full |
Prevalence of cholelithiasis in patients with chagasic megaesophagus Prevalência de colelitíase em pacientes com megaesôfago chagásico |
title_fullStr |
Prevalence of cholelithiasis in patients with chagasic megaesophagus Prevalência de colelitíase em pacientes com megaesôfago chagásico |
title_full_unstemmed |
Prevalence of cholelithiasis in patients with chagasic megaesophagus Prevalência de colelitíase em pacientes com megaesôfago chagásico |
title_sort |
prevalence of cholelithiasis in patients with chagasic megaesophagus prevalência de colelitíase em pacientes com megaesôfago chagásico |
publisher |
Sociedade Brasileira de Medicina Tropical (SBMT) |
publishDate |
2011 |
url |
https://doaj.org/article/b65542f78b8a473e88e007ae4b5d1baf |
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 https://doaj.org/toc/0037-8682 https://doaj.org/toc/1678-9849 0037-8682 1678-9849 https://doaj.org/article/b65542f78b8a473e88e007ae4b5d1baf |
_version_ |
1766346605972160512 |