{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,6,29]],"date-time":"2023-06-29T05:10:42Z","timestamp":1688015442706},"reference-count":28,"publisher":"FapUNIFESP (SciELO)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["ABCD, arq. bras. cir. dig."],"published-print":{"date-parts":[[2012,6]]},"abstract":"<jats:p>RACIONAL: A doen\u00e7a do refluxo gastroesof\u00e1gico \u00e9 uma das enfermidades do trato gastrointestinal mais frequentes atualmente. A fundoplicatura de Nissen-Rossetti \u00e9 t\u00e9cnica operat\u00f3ria muito empregada para o tratamento cir\u00fargico, sendo a migra\u00e7\u00e3o intrator\u00e1cica da v\u00e1lvula uma das principais complica\u00e7\u00f5es. OBJETIVO: Avaliar a incid\u00eancia da migra\u00e7\u00e3o da fundoplicatura e seus fatores de risco. M\u00c9TODO: Analisou-se retrospectivamente 207 prontu\u00e1rios de pacientes submetidos \u00e0 fundoplicatura videolaparosc\u00f3pica pela t\u00e9cnica de Nissen-Rossetti para tratamento da doen\u00e7a do refluxo. As vari\u00e1veis analisadas foram: sexo, idade, esofagite, grau de esofagite, tamanho da h\u00e9rnia, alargamento da c\u00e1rdia, encurtamento esof\u00e1gico. Para as vari\u00e1veis quantitativas, foi considerado o teste t de Student. Para as nominais, foi considerado o teste de Qui-quadrado ou o teste exato de Fisher. Valores de p&lt;0,05 indicaram signific\u00e2ncia estat\u00edstica. RESULTADOS: Do total, 135 eram mulheres (65,22%) e 72 homens (34,78%), com m\u00e9dia de idade de 47,43 anos. O tamanho da h\u00e9rnia variou entre 2 e 6 cm. Duzentos pacientes tinham esofagite (96,62%), sendo 113 (56,50%) grau I, 75 grau II (37,50%) e 12 grau III ou IV (6%). Alargamento de c\u00e1rdia e es\u00f4fago de Barrett foram vistos em 153 (73,91%) e 13 (6,28%) casos, respectivamente. Um paciente apresentava encurtamento esof\u00e1gico. Dentre as mulheres, 33 (24,4%) apresentaram migra\u00e7\u00e3o e entre os homens, apenas seis (8,3%) (p = 0,005). A idade m\u00e9dia dos pacientes com e sem migra\u00e7\u00e3o foi de 54,03 e 45,89 anos, respectivamente (p = 0,001). CONCLUS\u00c3O: A incid\u00eancia da migra\u00e7\u00e3o da fundoplicatura foi de 18,8%. O g\u00eanero feminino e possuir maior idade influenciam na probabilidade dessa migra\u00e7\u00e3o. O grau de esofagite, tamanho da h\u00e9rnia e alargamento da c\u00e1rdia n\u00e3o se mostraram fatores de risco para migra\u00e7\u00e3o intrator\u00e1cica da fundoplicatura.<\/jats:p>","DOI":"10.1590\/s0102-67202012000200003","type":"journal-article","created":{"date-parts":[[2013,2,2]],"date-time":"2013-02-02T11:14:03Z","timestamp":1359803643000},"page":"75-80","source":"Crossref","is-referenced-by-count":1,"title":["Incid\u00eancia e fatores predisponentes da migra\u00e7\u00e3o da fundoplicatura pela t\u00e9cnica de Nissen-Rossetti no tratamento da doen\u00e7a do refluxo Gastroesof\u00e1gico"],"prefix":"10.1590","volume":"25","author":[{"given":"Paulo Afonso Nunes","family":"Nassif","sequence":"first","affiliation":[{"name":"Faculdade Evang\u00e9lica do Paran\u00e1, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lucas Eduardo","family":"Pedri","sequence":"additional","affiliation":[{"name":"Faculdade Evang\u00e9lica do Paran\u00e1, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Priscila Reis","family":"Martins","sequence":"additional","affiliation":[{"name":"Faculdade Evang\u00e9lica do Paran\u00e1, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marcelo Morikuni","family":"Foauni","sequence":"additional","affiliation":[{"name":"Faculdade Evang\u00e9lica do Paran\u00e1, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marcel da Silva","family":"Justen","sequence":"additional","affiliation":[{"name":"Faculdade Evang\u00e9lica do Paran\u00e1, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michelle","family":"Varaschim","sequence":"additional","affiliation":[{"name":"Faculdade Evang\u00e9lica do Paran\u00e1, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Denise Serpa","family":"Bopp","sequence":"additional","affiliation":[{"name":"Faculdade Evang\u00e9lica do Paran\u00e1, 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