Relación entre gastrectomía de tipo manga y reflujo gastroesofágico
DOI:
https://doi.org/10.30944/20117582.264Palabras clave:
derivación gástrica, reflujo gastroesofágico, vaciamiento gástrico, hernia hiatalResumen
La enfermedad por reflujo gastroesofágico es una entidad muy frecuente en la población general, con secuelas significativas, como esofagitis péptica, esófago de Barrett y carcinoma de esófago. La obesidad, por su parte, es una condición que se ha incrementado en el mundo en las últimas tres décadas y es uno de los principales factores de riesgo para reflujo gastroesofágico y esófago de Barrett. En los últimos años, la cirugía bariátrica se ha convertido en el mejor tratamiento para la obesidad mórbida y algunas de sus técnicas son reconocidas por ser procedimientos esencialmente antirreflujo como, por ejemplo, la derivación gástrica laparoscópica en Y de Roux. Sin embargo, la relación entre la manga gástrica por laparoscopia y el reflujo gastroesofágico, sigue siendo un tema controvertido. El propósito de esta revisión es presentar la información disponible sobre los mecanismos fisiopatológicos asociados a la presentación de reflujo gastroesofágico después de manga gástrica por laparoscopia y la influencia de la técnica quirúrgica en la prevención de esta complicación.
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