{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,4,4]],"date-time":"2022-04-04T12:52:02Z","timestamp":1649076722343},"reference-count":21,"publisher":"FapUNIFESP (SciELO)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arq. Gastroenterol."],"published-print":{"date-parts":[[2003,9]]},"abstract":"<jats:p>RACIONAL: A estenose esof\u00e1gica secund\u00e1ria \u00e0 ingest\u00e3o de produtos c\u00e1usticos \u00e9 freq\u00fcente no Brasil, principalmente como tentativa de suic\u00eddio. O es\u00f4fago de Barrett surge como conseq\u00fc\u00eancia do refluxo gastroesof\u00e1gico cr\u00f4nico. A literatura pesquisada mostrou que esta associa\u00e7\u00e3o \u00e9 muito rara. CASU\u00cdSTICA E M\u00c9TODOS: De 1981 a 2000 foram admitidos e tratados no Gastrocentro-UNICAMP (Universidade Estadual de Campinas, SP.) 120 doentes com estenose c\u00e1ustica do es\u00f4fago e durante o seguimento destes, foram encontrados 9 casos associados com o es\u00f4fago de Barrett (7,5%). O tempo de ingest\u00e3o do c\u00e1ustico variou de 4 a 54 anos (m\u00e9dia de 29 anos) e eram quatro homens e cinco mulheres, oito brancos e um negro, com idade m\u00e9dia de 57,7 anos (43 a 72 anos). RESULTADOS: Todos os casos apresentavam disfagia e a endoscopia digestiva alta flex\u00edvel mostrou \u00e1reas de estenose e seq\u00fcelas de esofagite c\u00e1ustica. Tr\u00eas pacientes referiram sintomas de refluxo gastroesof\u00e1gico, mas h\u00e9rnia de hiato foi encontrada em apenas um caso. O es\u00f4fago de Barrett foi encontrado no ter\u00e7o m\u00e9dio do es\u00f4fago em tr\u00eas casos, acima das \u00e1reas de estenose, e nos demais, no ter\u00e7o distal. A disfagia foi tratada com dilata\u00e7\u00f5es esof\u00e1gicas peri\u00f3dicas. Dois pacientes apresentando sintomas de refluxo grave foram submetidos a fundoplicatura \u00e0 Nissen modificado atrav\u00e9s de videolaparoscopia, com bons resultados. CONCLUS\u00d5ES: O es\u00f4fago de Barrett nesses doentes poderia estar associado com a ingest\u00e3o de c\u00e1ustico, porque nem sempre esteve associado \u00e0 esofagite por refluxo. \u00c9 muito importante o seguimento desses doentes e realiza\u00e7\u00e3o peri\u00f3dica de endoscopias digestivas com biopsias do es\u00f4fago de Barrett, devido \u00e0 possibilidade de maligniza\u00e7\u00e3o.<\/jats:p>","DOI":"10.1590\/s0004-28032003000300003","type":"journal-article","created":{"date-parts":[[2005,4,15]],"date-time":"2005-04-15T14:20:55Z","timestamp":1113574855000},"page":"148-151","source":"Crossref","is-referenced-by-count":2,"title":["O es\u00f4fago de Barrett associado \u00e0 estenose c\u00e1ustica do es\u00f4fago"],"prefix":"10.1590","volume":"40","author":[{"given":"Nelson Adami","family":"Andreollo","sequence":"first","affiliation":[{"name":"Universidade Estadual de Campinas"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luiz Roberto","family":"Lopes","sequence":"additional","affiliation":[{"name":"Universidade Estadual de Campinas"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Valdir","family":"Tercioti Jr.","sequence":"additional","affiliation":[{"name":"Universidade Estadual de Campinas"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nelson Ary","family":"Brandalise","sequence":"additional","affiliation":[{"name":"Universidade Estadual de Campinas"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luiz S\u00e9rgio","family":"Leonardi","sequence":"additional","affiliation":[{"name":"Universidade Estadual de Campinas"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","reference":[{"key":"ref1","first-page":"22","article-title":"Incid\u00eancia e epidemiologia do epit\u00e9lio de Barrett no Gastrocentro\/UNICAMP","volume":"34","author":"Andreollo NA","year":"1997","journal-title":"Arq Gastroenterol","ISSN":"http:\/\/id.crossref.org\/issn\/0004-2803","issn-type":"print"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"236","DOI":"10.1590\/S0104-42302001000300036","article-title":"Tratamento conservador das estenoses benignas do es\u00f4fago atrav\u00e9s de dilata\u00e7\u00f5es: An\u00e1lise de 500 casos","volume":"47","author":"Andreollo NA","year":"2001","journal-title":"Rev Assoc Med Bras","ISSN":"http:\/\/id.crossref.org\/issn\/0004-5241","issn-type":"print"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"79","DOI":"10.1093\/dote\/8.2.79","article-title":"Malignant degeneration of Barrett's esophagus: current concepts on the pathogenesis of Barrett's esophagus","volume":"8","author":"Bremner CG","year":"1995","journal-title":"Dis Esophagus","ISSN":"http:\/\/id.crossref.org\/issn\/1120-8694","issn-type":"print"},{"key":"ref4","first-page":"1999","article-title":"Caustic burn and adenocarcinoma of the esophagus","volume":"52","author":"Cornet A","year":"1976","journal-title":"Sem Hop","ISSN":"http:\/\/id.crossref.org\/issn\/0037-1777","issn-type":"print"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"550","DOI":"10.1097\/00003072-198311000-00012","article-title":"Barrett's esophagus complicating by ingestion: Demonstration by pertechnetate scintigraphy","volume":"8","author":"Fisher DR","year":"1983","journal-title":"Clin Nucl Med","ISSN":"http:\/\/id.crossref.org\/issn\/0363-9762","issn-type":"print"},{"key":"ref6","first-page":"1","article-title":"Ingestion of corrosive substances by adults","volume":"87","author":"Gumaste VV","year":"1992","journal-title":"Am J Gastroenterol","ISSN":"http:\/\/id.crossref.org\/issn\/0002-9270","issn-type":"print"},{"key":"ref7","series-title":"Endoscopia digestiva","first-page":"85","volume-title":"Estenoses benignas do es\u00f4fago","author":"Ishioka S","year":"1994"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"847","DOI":"10.1016\/S0889-8553(21)00592-6","article-title":"Caustic ingestion injuries","volume":"20","author":"Kikendall JW","year":"1991","journal-title":"Gastroenterol Clin North Am","ISSN":"http:\/\/id.crossref.org\/issn\/0889-8553","issn-type":"print"},{"key":"ref9","doi-asserted-by":"crossref","first-page":"141","DOI":"10.1590\/S0104-42302001000200033","article-title":"Tratamento cir\u00fargico videolaparosc\u00f3pico da doen\u00e7a do refluxo gastroesofagiano: t\u00e9cnica de Nissen modificada - 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