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Jubileu de prata do ABCD Silver jubilee of the ABCD
Nelson Adami Andreollo,Osvaldo Malafaia
ABCD. Arquivos Brasileiros de Cirurgia Digestiva (S?o Paulo) , 2011, DOI: 10.1590/s0102-67202011000400001
Abstract:
Os 100 anos da doen a de Chagas no Brasil A hundred years of Chagas disease in Brazil
Nelson Adami Andreollo,Osvaldo Malafaia
ABCD. Arquivos Brasileiros de Cirurgia Digestiva (S?o Paulo) , 2009, DOI: 10.1590/s0102-67202009000400001
Abstract:
Gastroplastia a Collis associada à fundoplicatura parcial ou total: estudo experimental
Lopes, Luiz Roberto;Andreollo, Nelson Adami;
ABCD. Arquivos Brasileiros de Cirurgia Digestiva (S?o Paulo) , 2011, DOI: 10.1590/S0102-67202011000100002
Abstract: background: reflux esophagitis complicated by stenosis and shortening of the organ is a difficult disease to surgical treatment with frequent failure. the collis gastroplasty associated with a partial or total fundoplication can be employed in this situation. objective: to evaluate the technique of fundoplication with partial or total collis gastroplasty in dogs. methods: seven dogs underwent a collis-lind (group a) and four to collis-nissen (group b) after myotomy of the gastroesophageal junction; reflux was evaluated with measurements of ph and pressures in the esophagogastric transition with microtransducer. results: after myotomy reflux occurred freely in all animals. however, after collis-lind or collis-nissen procedures, it not ocurred spontaneously. the application of manual pressure on the stomach caused reflux in 28.5% of animals in group a. the assessment of pressures in the surgical specimen showed no difference in the area of high pressure in both groups. conclusion: the collis-lind and collis-nissen procedures prevent gastroesophageal reflux. the pressure measurements and the extension of the high pressure zone were similar in both groups.
"Técnica de Brandalise": técnica mista de fundoplicatura por videolaparoscopia - reconhecimento de autoria de modifica o e introdu o de técnica anti-refluxo no Brasil "Brandalise Technique": Fundoplication Mix Technique by videolaparoscopy - authorship recognition of the modification and introduction of the anti-reflux technique in Brazil
Nelson Adami Andreollo,Luiz Roberto Lopes
ABCD. Arquivos Brasileiros de Cirurgia Digestiva (S?o Paulo) , 2008, DOI: 10.1590/s0102-67202008000200001
Abstract:
Tratamento cirúrgico dos divertículos epifrênicos por videolaparoscopia
Lopes, Luiz Roberto;Brandalise, Nelson Ary;Andreollo, Nelson Adami;
Revista do Colégio Brasileiro de Cirurgi?es , 2006, DOI: 10.1590/S0100-69912006000600007
Abstract: background: epiphrenic diverticulum is a rare condition in clinical practice usually presented by few symptoms such as dysphagia. before the advent of the videosurgery, it's surgical treatment was performed by a left thoracotomy or laparotomy and resection of the diverticulum, associated or not with myotomy in the esophagogastric junction. today, this procedure has been accomplished, by laparoscopy with very good results, leading to a better postoperative recuperation. methods: we present five patients with epiphrenic diverticulum that were treated by videolaparoscopy. three of them were females and their ages varied between 37 and 64 years old. all patients were submitted to an endoscopy and x-ray to confirm the diagnosis; three were submitted to a manometry that showed unspecific motility alterations. results: resection of the diverticulum was performed successfully by videolaparoscopy in all cases. one patient showed esophageal leakage after 8 days with normal control postoperative x-ray. the hospital length of stay varied between 7 and 21 days, and disphagya relief was achieved in all patients, with a follow-up between two to eleven years. conclusion: videolaparoscopic surgical repair for epiphrenic diverticulum, associated or not to myotomy of the esophagogastric junction, is the treatment of choice. it is associated with less pain and complications, with a shorter length of stay. this technique is safe and efficient for treatment of the epiphrenic diverticulum.
Qualidade de vida de doentes esofagectomizados: adenocarcinoma versus carcinoma epidermoide Quality of life of esophagectomized patients: adenocarcinoma versus squamous cell carcinoma
Maricilda Regina Pereira,Luiz Roberto Lopes,Nelson Adami Andreollo
Revista do Colégio Brasileiro de Cirurgi?es , 2013,
Abstract: OBJETIVO: Avaliar e comparar a qualidade de vida de pacientes esofagectomizados para tratamento de adenocarcinoma da jun o esofagogástrica e de carcinoma epidermoide. MéTODOS: estudo transversal no pós-operatório de doentes esofagectomizados por adenocarcinoma da jun o esofagogástrica (Adenoca) e carcinoma epidermóide (CEC), empregando o questionário SF-36 aplicado em 24 pacientes (10 por Adenoca e 14 por CEC), a partir do 5o mês de pós-operatório, incluindo os sintomas clínicos e a varia o de peso. RESULTADOS: A avalia o da QV mostrou melhor resultado de capacidade funcional (p=0,018) para o grupo Adenoca. Houve correla o entre os domínios "saúde mental" e "limita o por aspectos emocionais" (p=0,003) e entre "dor" e "limita o por aspectos físicos" (p=0,003) nos dois tipos histológicos. A perda de peso foi maior nos esofagectomizados por Adenoca (45,9Kg), sem diferen a significativa entre o IMC atual (p>0,66). A disfagia foi relatada por 83,3% dos pacientes, a anorexia por 58,3%, a dificuldade de mastiga o por 42%, a náuseas e os v mitos por 41,7% e a diarréia por 29,2%, sem correla o com a QV relatada (p>0,05). CONCLUS O: O escore mais alto para capacidade funcional indica que o paciente com Adenoca foi capaz de realizar todo tipo de atividade física, incluindo as mais vigorosas em um nível maior que o paciente com CEC. Alguns sintomas persistiram no pós-operatório, porém n o interferiram na qualidade de vida dos pacientes. OBJECTIVE: To evaluate and compare the quality of life (QOL) of patients undergoing esophagectomy for treatment of adenocarcinoma of the esophagogastric junction and squamous cell carcinoma. METHODS: We conducted a cross-sectional study in postoperative patients submitted to esophagectomy for adenocarcinoma of the esophagogastric junction (ACA) and squamous cell carcinoma (SCC), using the SF-36 questionnaire applied in 24 patients (10 ACAs and 14 SCCs), from the 5th months postoperatively, including clinical symptoms and weight change. RESULTS: The assessment of QOL showed the best functional capacity (p = 0.018) in the ACA group. There was a correlation between the fields "mental health" and "Role of Emotions" (p = 0.003) and between "pain" and "physical aspects limitation" (p = 0.003) in both histological types. Weight loss was greater in ACA (45.9 kg), with no significant difference between current BMI (p> 0.66). Dysphagia was reported by 83.3% of patients, anorexia by58.3%, chewing difficulty by 42%, nausea and vomiting by 41.7% and diarrhea by 29.2%, with no correlation with QOL reported (p> 0.05). CONCLUSION: The high
Idade dos ratos versus idade humana: qual é a rela??o?
Andreollo, Nelson Adami;Santos, Elisvania Freitas dos;Araújo, Marina Rachel;Lopes, Luiz Roberto;
ABCD. Arquivos Brasileiros de Cirurgia Digestiva (S?o Paulo) , 2012, DOI: 10.1590/S0102-67202012000100011
Abstract: background: millions of mice are used annually in research and teaching. the exact relationship between age of the animals compared with the age of humans is still subject to discussion and controversy. objective: literature review analyzing the age of rats in comparison with men age. methods: were reviewed the existing publications on the subject contained in medline / pubmed, scielo, the cochrane database of systematic reviews and lilacs crossing the headings rats, experimental surgery and physiology. results: rats rapidly develop during childhood and become sexually mature at about six weeks old, but reach social maturity five to six months later. in adulthood, every month of the animal is approximately equivalent to 2.5 human years. several authors performed experimental studies in rats and estimated 30 days of human life for every day life of the animal. conclusion: the differences in anatomy, physiology, development and biological phenomena must be taken into consideration when analyzing the results of any research in rats when age is a crucial factor. special care is necessary to be taken when the intention is to produce correlation with human life. for this, special attention is needed to verify the phase in days of the animal and its correlation with age in years of humans
Doen?a do refluxo gastroesofágico: qual a eficácia dos exames no diagnóstico?
Andreollo, Nelson Adami;Lopes, Luiz Roberto;Coelho-Neto, Jo?o de Souza;
ABCD. Arquivos Brasileiros de Cirurgia Digestiva (S?o Paulo) , 2010, DOI: 10.1590/S0102-67202010000100003
Abstract: background: gastroesophageal reflux disease (gerd) is widespread in the population and the tests used for diagnosis are endoscopy, radiological contrast, scintigraphy with 99m tc, manometry and 24 h phmetry. aim: to analyze the effectiveness of these tests in patients with gerd who underwent surgical treatment by video-laparoscopy. methods: a retrospective study of 126 patients diagnosed with gerd, who underwent preoperative upper gastrointestinal endoscopy, radiologic examinations of the esophagus, stomach and duodenum, scintigraphy and manometry of the esophagus. the 24 hours phmetry was performed in small number of patients. results: endoscopy reflux esophagitis was diagnosed in 91.7% of cases and hiatus hernia in 88.6%. radiological examinations showed the presence of gastroesophageal reflux in 80.2% and hiatus hernia in 91.5%. scintigraphy showed gastroesophageal reflux in 85.1%. esophageal manometry was normal in 6.45%. conclusion: upper digestive endoscopy presented high sensitivity for the diagnosis of reflux esophagitis, but scintigraphy was better showing the reflux, so did contrasted radiographic examination.
A influência do treinamento muscular respiratório pré-operatório na recupera??o de pacientes submetidos à esofagectomia
Ysayama, Luciana;Lopes, Luiz Roberto;Silva, Aurea Maria Oliveira;Andreollo, Nelson Adami;
ABCD. Arquivos Brasileiros de Cirurgia Digestiva (S?o Paulo) , 2008, DOI: 10.1590/S0102-67202008000200004
Abstract: aim: to correlate the effects of the respiratory muscular training (rmt) in the pre-operative period of esophagectomies, with the post-operative pulmonary complications. methods: forty patients were randomically submitted to two groups: 20 patients with rmt during 5 day/week (1 to 4 weeks pre-operatively) and 20 patients without rmt (control group). pimax, pemax, pulmonary function test, arterial blood gas analyses and cirtometry data were collected before rmt, at the end of each week of training and in the 7th post-operative day. rmt consisted on bicycle (15 minutes); threshold (15 minutes), cpap (15 minutes), inspirometer (3 series of 15 repetitions) and ventilatory patterns (3 series of 15 repetitions). all patients were treated by trans-mediastinal esophagectomies. results: an increase of pemax (p< 0.05) and pimax (p< 0.05) during the 4 weeks of rmt was found. there was a decrease of pemax and pimax in both groups in the post-operative period, however, the length on intensive care unit (1-4 days vs 1-17 days) and hospital stay (12-18 days vs 19-46 days) in the trained group was shorter. the respiratory complications were lower in rmt group. conclusion: respiratory muscular training is important in increasing the respiratory muscles force and endurance and, consequently, better surgical recovery with minor intensive unit and hospital staying.
Terapêutica neo-adjuvante aumenta as complica??es pós-operatórias da esofagectomia?
Tercioti Jr, Valdir;Lopes, Luiz Roberto;Coelho-Neto, Jo?o de Souza;Andreollo, Nelson Adami;
ABCD. Arquivos Brasileiros de Cirurgia Digestiva (S?o Paulo) , 2010, DOI: 10.1590/S0102-67202010000300008
Abstract: background: esophageal cancer is the eighth most frequent type of cancer in the population in the world, and in brazil 10.630 new cases are estimated for the year 2010. in curative treatment, esophagectomy stands out in its various treatment modalities. aim: to assess by means of a retrospective nonrandomized the perioperative complications of patients submitted to esophagectomy for squamous cell carcinoma of the esophagus, with or without neoadjuvant therapy. methods: were analyzed 123 patients operated, undergoing mostly (80%) transmediastinal esophagectomy with cervical esophagogastric anastomosis, distributed as follows: 81 (65.8%) underwent radiotherapy neo-adjuvant, 16 (13%) chemoradiotherapy neoadjuvant and 26 (21,2%) to surgery alone. results: major complications considered were: intraoperative hemorrhage (4%), pneumothorax / hemothorax (73.1%), pneumonia (20.3%) and fistula and anastomotic stenosis (44.7%). no significant differences in complications between the groups, except for pneumothorax / hemothorax in which there was a lower incidence in the group of surgery alone. overall mortality was 14 cases (8.8%), unrelated to the treatment used. conclusion: the neoadjuvant chemoradiotherapy in order to obtain better survival rates and complete resection resulted in no increase in perioperative complications.
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