Title:	Necrose da mucosa esofágica como complicação da cardiomiotomia à heller para tratamento de megaesôfago chagásico
Other Titles:	Necrosis of esophageal mucosa as a heller cardiomyotomy complication in the treatment of achalasia in chagas' disease
Authors:	Aires, Nádia Barbosa Cruz, Carlos Augusto Teixeira Vianna, André Luiz
Assunto::	Acalasia esofágica Esôfago Cirurgia
Issue Date:	2002
Publisher:	Colégio Brasileiro de Cirurgiões
Citation:	AIRES, Nádia Barbosa; CRUZ, Carlos Augusto Teixeira; VIANNA, André Luiz. Necrose da mucosa esofágica como complicação da cardiomiotomia à heller para tratamento de megaesôfago chagásico. Revista do Colégio Brasileiro de Cirurgiões, v. 29, n. 5, p. 307-308, 2002. DOI: https://doi.org/10.1590/S0100-69912002000500012. Disponível em: https://www.scielo.br/j/rcbc/a/mZ9NLy4FtXmDHKQxzMQkKCs/?lang=pt#. Acesso em: 10 set. 2021.
Abstract:	This article presents a complication of the laparoscopic technique for Heller cardiomyotomy and anterior fundoplication. This procedure is safe and provides excellent relief of disphagia in esophageal achalasia. Nevertheless, there are rare but dangerous complications, such as late active digestive bleeding, presented in this paper which was resistant to conservative treatment and led to hypovolemic shock. Urgent laparotomy performed to identify and control bleeding, revealed necrosis of esophageal mucosa with a bleeding gastric vessel. Inadequate exposure of the gastroesophageal junction and an incision very close to the lesser curvature might have damaged the esophageal branches of the left gastric artery, leading to ischemic necrosis of the mucosa and exposure of the gastric wall and its vessels.
metadata.dc.description.unidade:	Faculdade de Medicina (FMD)
Licença::	Revista do Colégio Brasileiro de Cirurgiões - This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License (CC BY NC). Fonte: https://www.scielo.br/j/rcbc/a/mZ9NLy4FtXmDHKQxzMQkKCs/?lang=pt#. Acesso em: 10 set. 2021.
DOI:	https://dx.doi.org/10.1590/S0100-69912002000500012
Appears in Collections:	Artigos publicados em periódicos e afins

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