Martínez AMA, Roque GR, Torres PR, Fernández ZA, Barreras GJ, Anido EV

Idioma: Español
Referencias bibliográficas: 30
Paginas: 12-19
Archivo PDF: 235.98 Kb.

RESUMEN

Introducción: A pesar de las modificaciones técnicas que se agregaron a las funduplicaturas totales con el propósito de disminuir la disfagia postoperatoria, ésta continúa siendo la mayor causa de molestias postoperatorias. Los factores más relacionados con la disfagia han sido: la técnica quirúrgica, la motilidad esofágica y la experiencia del cirujano actuante. Material y métodos: Se realizó un ensayo clínico Fase II, controlado, aleatorizado, comparando las técnicas de Nissen y Nissen - Rossetti en pacientes con síntomas típicos de enfermedad por reflujo gastroesofágico y trastornos motores esofágicos con indicación de tratamiento quirúrgico, atendidos en el Centro Nacional de Cirugía Endoscópica de Ciudad Habana, Cuba. Resultados: La disfagia postoperatoria no mostró diferencias entre los dos grupos de tratamiento en los diversos periodos analizados. La motilidad esofágica preoperatoria se encontraba afectada de forma severa en más de la mitad de los pacientes en ambos grupos y aunque no se demostró relación entre los trastornos de motilidad y la disfagia postoperatoria, ésta persistió sólo en los de motilidad con afectación severa. Conclusiones: No se demostró relación entre los trastornos de motilidad y la disfagia postoperatoria en ninguno de los dos grupos de tratamiento.

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