ARTÍCULO ORIGINAL
Trastornos motores y endoscópicos en sujetos obesos asintomáticos
Motor and endoscopic disorders in asymptomatic obese subjects
C.D. Quiróz-Guadarramaa,
, M.E. Rojano-Rodríguezb, J.J. Herrera-Esquivelc, O.A. Lárragac, L.S. Romero-Loerad, E. Cárdenas-Lailsonc, R. Dionisioc, I. del Río-Suárezc, J.M. Morales-Vargasa, M. Muciob
Autor para correspondencia
radheyadqg@hotmail.com
Autor para correspondencia. Servicio de Endoscopia Gastrointestinal, Hospital General “Dr. Manuel Gea González”. Calzada de Tlalpan N° 4800, Colonia Sección XVI, C.P. 14080, México D.F., México. Tel.: +(0155) 4000 3000; ext. 3059.
Autor para correspondencia. Servicio de Endoscopia Gastrointestinal, Hospital General “Dr. Manuel Gea González”. Calzada de Tlalpan N° 4800, Colonia Sección XVI, C.P. 14080, México D.F., México. Tel.: +(0155) 4000 3000; ext. 3059.
a Departamento de Endoscopia Gastrointestinal, Hospital General “Dr. Manuel Gea González”, México D.F., México
b Clínica de Obesidad, Hospital General “Dr. Manuel Gea González”, México D.F., México
c Motilidad Gastrointestinal, Hospital General “Dr. Manuel Gea González”, México D.F., México
d Cirugía Endoscópica, Hospital General “Dr. Manuel Gea González”, México D.F., México
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Servicio de Endoscopia Gastrointestinal, Hospital General “Dr. Manuel Gea González”. Calzada de Tlalpan N° 4800, Colonia Sección XVI, C.P. 14080, México D.F., México. Tel.: +(0155) 4000 3000; ext. 3059." ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Motor and endoscopic disorders in asymptomatic obese subjects" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2013-10-23" "fechaAceptado" => "2013-10-31" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec320084" "palabras" => array:6 [ 0 => "obesidad" 1 => "Motilidad esofágica" 2 => "Enfermedad por reflujo gastroesofágico" 3 => "Hernia hiatal" 4 => "Esfínter esofágico inferior" 5 => "México." ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec320083" "palabras" => array:6 [ 0 => "obesity" 1 => "Esophageal motility" 2 => "Gastroesophageal reflux" 3 => "Hiatal hernia" 4 => "lower esophageal sphincter" 5 => "Mexico." ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span class="elsevierStyleSectionTitle" id="sect0010">Introducción</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">La obesidad es un factor de riesgo para el desarrollo de enfermedad por reflujo gastroesofágico. El objetivo de este estudio fue comparar los hallazgos endoscópicos y manométricos entre pacientes con obesidad y sujetos no obesos asintomáticos.</p> <span class="elsevierStyleSectionTitle" id="sect0015">Material y métodos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Se realizó un estudio prospectivo, comparativo con 56 pacientes con obesidad, sin síntomas de reflujo, con índice de DeMeester < 14.7, los cuales fueron comparados con 30 sujetos voluntarios no obesos asintomáticos.</p> <span class="elsevierStyleSectionTitle" id="sect0020">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">la presencia de hernia hiatal y esofagitis fue más frecuente en el grupo de pacientes con obesidad (hernia hiatal GI 28%, GII 10%; <span class="elsevierStyleItalic">p</span><0.05) (esofagitis GI 8.9%, GII 0%). La presión del esfínter esofágico inferior fue menor en los sujetos obesos (GI 7.18 ± 3.78, GII 12.84 ± 4.82; <span class="elsevierStyleItalic">p</span><0.05). Se identificó una fuerte asociación entre la obesidad y la dismotilidad del cuerpo esofágico (RM=7; IC 95%=2.73-22.88). En conclusión, los pacientes con obesidad exhiben mayor frecuencia de hernia hiatal y esofagitis, así como disminución de la presión del esfínter esofágico inferior aún cuando son asintomáticos para reflujo. Existe una fuerte asociación entre la dismotilidad del cuerpo esofágico y la obesidad.</p>" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span class="elsevierStyleSectionTitle" id="sect0030">Introduction</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Obesity is associated with gastroesophageal reflux. The aim of this prospective study was to compare endoscopic and manometric findings in asymptomatic obese patients and compare it to non-obese individuals.</p> <span class="elsevierStyleSectionTitle" id="sect0035">Material and methods</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">A prospective, comparative study was conducted with 56 obese patients without GERD symptoms and index DeMeester reflux < 14.7 were compared to 30 asymptomatic no-obese individuals.</p> <span class="elsevierStyleSectionTitle" id="sect0040">Results</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">the presence of hiatal hernia and esophagitis was more frequent in the group of obese patients (hiatal hernia GI 28%, GI GII 10%; <span class="elsevierStyleItalic">p</span><0.05) (esophagitis GI 8.9%, GII 0%). The lower esophageal sphincter pressure was lower in obese subjects (GI 7.18 ± 3.78, GII 12.84 ± 4.82; <span class="elsevierStyleItalic">p</span><0.05). We identified a strong association between obesity and esophageal body dysmotility (OR=7; CI 95%=2.73-22.88). In conclusion, obese patients show increased frequency of hiatal hernia and esophagitis, as well as decreased lower esophageal sphincter pressure even when they are asymptomatic for reflux. There is a strong association between esophageal body dysmotility and obesity</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:26 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "[1]" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Epidemiologic and economic consequences of the global epidemics of obesity and diabetes" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "D. Yach" 1 => "D. Stuckler" 2 => "K.D. 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| año/Mes | Html | Total | |
|---|---|---|---|
| 2024 Noviembre | 1 | 0 | 1 |
| 2024 Octubre | 4 | 3 | 7 |
| 2024 Septiembre | 16 | 17 | 33 |
| 2024 Agosto | 13 | 9 | 22 |
| 2024 Julio | 14 | 3 | 17 |
| 2024 Junio | 10 | 3 | 13 |
| 2024 Mayo | 10 | 7 | 17 |
| 2024 Abril | 8 | 4 | 12 |
| 2024 Marzo | 9 | 13 | 22 |
| 2024 Febrero | 9 | 7 | 16 |
| 2024 Enero | 14 | 11 | 25 |
| 2023 Diciembre | 6 | 7 | 13 |
| 2023 Noviembre | 13 | 35 | 48 |
| 2023 Octubre | 9 | 12 | 21 |
| 2023 Septiembre | 3 | 3 | 6 |
| 2023 Agosto | 8 | 8 | 16 |
| 2023 Julio | 6 | 7 | 13 |
| 2023 Junio | 4 | 17 | 21 |
| 2023 Mayo | 6 | 5 | 11 |
| 2023 Abril | 5 | 6 | 11 |
| 2023 Marzo | 2 | 1 | 3 |
| 2023 Febrero | 4 | 5 | 9 |
| 2023 Enero | 5 | 3 | 8 |
| 2022 Diciembre | 8 | 4 | 12 |
| 2022 Noviembre | 11 | 4 | 15 |
| 2022 Octubre | 7 | 6 | 13 |
| 2022 Septiembre | 6 | 10 | 16 |
| 2022 Agosto | 9 | 7 | 16 |
| 2022 Julio | 8 | 7 | 15 |
| 2022 Junio | 8 | 10 | 18 |
| 2022 Mayo | 10 | 9 | 19 |
| 2022 Abril | 12 | 11 | 23 |
| 2022 Marzo | 12 | 17 | 29 |
| 2022 Febrero | 9 | 6 | 15 |
| 2022 Enero | 13 | 3 | 16 |
| 2021 Diciembre | 6 | 7 | 13 |
| 2021 Noviembre | 4 | 12 | 16 |
| 2021 Octubre | 11 | 9 | 20 |
| 2021 Septiembre | 3 | 5 | 8 |
| 2021 Agosto | 7 | 5 | 12 |
| 2021 Julio | 8 | 7 | 15 |
| 2021 Junio | 5 | 8 | 13 |
| 2021 Mayo | 7 | 5 | 12 |
| 2021 Abril | 12 | 15 | 27 |
| 2021 Marzo | 11 | 13 | 24 |
| 2021 Febrero | 5 | 8 | 13 |
| 2021 Enero | 4 | 10 | 14 |
| 2020 Diciembre | 8 | 6 | 14 |
| 2020 Noviembre | 5 | 6 | 11 |
| 2020 Octubre | 2 | 7 | 9 |
| 2020 Septiembre | 7 | 8 | 15 |
| 2020 Agosto | 13 | 9 | 22 |
| 2020 Julio | 7 | 7 | 14 |
| 2020 Junio | 3 | 3 | 6 |
| 2020 Mayo | 7 | 6 | 13 |
| 2020 Abril | 1 | 4 | 5 |
| 2020 Marzo | 4 | 3 | 7 |
| 2020 Febrero | 5 | 8 | 13 |
| 2020 Enero | 2 | 6 | 8 |
| 2019 Diciembre | 9 | 12 | 21 |
| 2019 Noviembre | 0 | 2 | 2 |
| 2019 Octubre | 3 | 4 | 7 |
| 2019 Septiembre | 2 | 1 | 3 |
| 2019 Agosto | 2 | 7 | 9 |
| 2019 Julio | 4 | 4 | 8 |
| 2019 Junio | 20 | 10 | 30 |
| 2019 Mayo | 59 | 77 | 136 |
| 2019 Abril | 17 | 36 | 53 |
| 2019 Marzo | 2 | 9 | 11 |
| 2019 Febrero | 3 | 4 | 7 |
| 2019 Enero | 0 | 8 | 8 |
| 2018 Diciembre | 2 | 8 | 10 |
| 2018 Noviembre | 0 | 8 | 8 |
| 2018 Octubre | 5 | 13 | 18 |
| 2018 Septiembre | 4 | 12 | 16 |
| 2018 Agosto | 3 | 14 | 17 |
| 2018 Julio | 0 | 16 | 16 |
| 2018 Junio | 6 | 4 | 10 |
| 2018 Mayo | 2 | 14 | 16 |
| 2018 Abril | 8 | 10 | 18 |
| 2018 Marzo | 2 | 6 | 8 |
| 2018 Febrero | 2 | 4 | 6 |
| 2018 Enero | 7 | 3 | 10 |
| 2017 Diciembre | 5 | 2 | 7 |
| 2017 Noviembre | 5 | 6 | 11 |
| 2017 Octubre | 4 | 7 | 11 |
| 2017 Septiembre | 1 | 7 | 8 |
| 2017 Agosto | 5 | 3 | 8 |
| 2017 Julio | 3 | 5 | 8 |
| 2017 Junio | 5 | 11 | 16 |
| 2017 Mayo | 9 | 6 | 15 |
| 2017 Abril | 4 | 4 | 8 |
| 2017 Marzo | 13 | 27 | 40 |
| 2017 Febrero | 11 | 3 | 14 |
| 2017 Enero | 10 | 2 | 12 |
| 2016 Diciembre | 16 | 4 | 20 |
| 2016 Noviembre | 14 | 4 | 18 |
| 2016 Octubre | 19 | 5 | 24 |
| 2016 Septiembre | 11 | 5 | 16 |
| 2016 Agosto | 10 | 3 | 13 |
| 2016 Julio | 17 | 3 | 20 |
| 2016 Junio | 26 | 18 | 44 |
| 2016 Mayo | 24 | 22 | 46 |
| 2016 Abril | 15 | 8 | 23 |
| 2016 Marzo | 28 | 25 | 53 |
| 2016 Febrero | 11 | 14 | 25 |
| 2016 Enero | 29 | 27 | 56 |
| 2015 Diciembre | 37 | 37 | 74 |
| 2015 Noviembre | 14 | 14 | 28 |
| 2015 Octubre | 23 | 15 | 38 |
| 2015 Septiembre | 36 | 11 | 47 |
| 2015 Agosto | 27 | 18 | 45 |
| 2015 Julio | 14 | 5 | 19 |
| 2015 Junio | 12 | 4 | 16 |
| 2015 Mayo | 33 | 10 | 43 |
| 2015 Abril | 23 | 24 | 47 |
| 2015 Marzo | 39 | 26 | 65 |
| 2015 Febrero | 24 | 20 | 44 |
| 2015 Enero | 42 | 18 | 60 |
| 2014 Diciembre | 35 | 22 | 57 |
| 2014 Noviembre | 25 | 14 | 39 |
| 2014 Octubre | 47 | 26 | 73 |
| 2014 Septiembre | 47 | 25 | 72 |
| 2014 Agosto | 41 | 18 | 59 |
| 2014 Julio | 38 | 25 | 63 |
| 2014 Junio | 43 | 17 | 60 |
| 2014 Mayo | 33 | 12 | 45 |
| 2014 Abril | 20 | 12 | 32 |
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