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- W122300803 abstract "espanolLa obesidad morbida es un factor de riesgo independiente para desarrollar hernia hiato y enfermedad por reflujo gastroesofagico. En los pacientes con obesidad morbida, las tecnicas convencionales para el tratamiento del el reflujo gastroesofagico y la hernia de hiato, tienen una alta tasa de fracaso. La evidencia a puesto de manifiesto que el bypass gastrico en Y de Roux, es un procedimiento eficaz para controlar los sintomas y las complicaciones del reflujo gastroesofagico en estos pacientes. Se presenta el caso de una paciente de 64 anos de edad, diagnosticada de obesidad morbida (IMC de 52 Kg/m2) y de hernia de hiato gigante. Se realizo reparacion de la hernia de hiato y bypass gastrico por via laparoscopica. A los 24 meses de la intervencion quirurgica, la paciente ha perdido el 32% del exceso de peso corporal (IMC 36Kg/m2), y no hay evidencia de recidiva de la hernia esofagica. EnglishMorbid obesity is an inpendent risk factor for hiatal hernia and gastroesophageal reflux disease. In morbidly obese patients, the usual techniques to improve gastroesophageal reflux after hiatal hernia repair could have poorer outcomes than in the general population. Laparoscopic Roux-en-Y gastric bypass has been demonstrated to be an effective procedure in controlling symptoms and complications of gastroesophageal reflux. The authors report a case of a 64-year-old woman with a body mass index of 52 kg/m2 who was diagnosed of giant hiatal hernia. A laparoscopic approach for both hiatal hernia repair and Laparoscopic Roux-en-Y gastric bypass was performed. At 24 months follow-up, the patient has lost 32% of excess body weight (BMI 36), and there is no evidence of recurrence of the esophageal hernia." @default.
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- W122300803 date "2014-01-01" @default.
- W122300803 modified "2023-09-24" @default.
- W122300803 title "Bypass gástrico laparoscópico como tratamiento simultáneo de hernia de hiato gigante y obesidad mórbida" @default.
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