RESUMO
La Enfermedad por Reflujo Gastroesofágico es el resultado de varias situaciones, con un desequilibrio entre los factores defensivos y la integridad de la barrera antirreflujo. El diagnóstico se realiza por los elementos clínicos, la endoscopia, la histología y la pHmetría esofágica. La Manometría Esofágica nos permite co- nocer el estado de la barrera antirreflujo y los trastornos motores se asocian a estos pacientes, que facilitan el desarrollo de la enfermedad. En este trabajo se estudian las características de los factores de motilidad, a través de la manometría esofágica, en un grupo de pacientes, con Enfermedad por Reflujo Gastroeso fágico.
Gastroesophageal Reflux Disease is the result of several situations, with an imbalance between the defensive factors, and the integrity of the antireflux barrier. Diagnosis is made by clinical, endoscopy, histology and esophageal pHmetry. Esophageal manometry allows us to understand the behavior of this barrier and the disease´s development. In this paper, we study the charactequeristics of motility factors, by esophageal manometry, in a group of patients with Gastroesophageal Reflux Disease.
Assuntos
Humanos , Masculino , Feminino , Helicobacter pylori , Terapêutica/efeitos adversos , Terapêutica/métodos , Tratamento Primário/efeitos adversos , Tratamento Primário/métodos , Úlcera Péptica/patologia , GastroenterologiaAssuntos
Exercício Físico/fisiologia , Neoplasias/prevenção & controle , Feminino , Humanos , MasculinoRESUMO
Nutrient Energy Malnutrition (NEM) is a common feature among liver cirrhosis (LC) patients, and might constitute a negative predictor of patient's survival. A prospective descriptive study was carried out in order to assess the influence of LC patient's nutritional status on the occurrence of complications and mortality in a tertiary care health institution in Havana City (Cuba). One-hundred twenty-one patients were recruited for the study (Women: 52.9%; Younger than 60 years: 59.0%; Whites: 90.0%). C virus infection, alcoholism, and B virus infection accounted for 71.0% of LC cases. Ninety-two percents of the patients had less than 5 yearse of diagnosis. Subjective Global Assessment (SGA) of nutritional status returned a 45.0% of malnutrition. Malnutrition was associated with disease progression: twenty-one percent of A Child-Pugh Stage patients was malnourished, but this rate increased to become 90.0% among those in C stage. Fat and skeletal muscle compartments were reduced in 36.0 and 37.0% of the patients, respectively. Complications affected 44.6% of the patients. Sixty percent of them were malnourished (p <0.01). One-year mortality rate was 11.0%. Ninety-two percent of deceased patients were malnourished (p < 0.01). LC malnourished patients have greater risk of complications and death as compared to well-nourished ones.