{"id":4977,"date":"2023-07-26T16:14:48","date_gmt":"2023-07-26T19:14:48","guid":{"rendered":"https:\/\/revistaabcd.org.br\/?p=4977"},"modified":"2023-07-26T16:14:48","modified_gmt":"2023-07-26T19:14:48","slug":"gastric-plication-associated-with-fundoplication-in-individuals-with-class-i-obesity-and-gastroesophageal-reflux-disease-weight-loss-outcomes-reflux-related-symptoms-endoscopic-and-ph-monitoring-fi","status":"publish","type":"post","link":"https:\/\/revistaabcd.org.br\/pt-br\/gastric-plication-associated-with-fundoplication-in-individuals-with-class-i-obesity-and-gastroesophageal-reflux-disease-weight-loss-outcomes-reflux-related-symptoms-endoscopic-and-ph-monitoring-fi\/","title":{"rendered":"GASTRIC PLICATION ASSOCIATED WITH FUNDOPLICATION IN INDIVIDUALS WITH CLASS I OBESITY AND GASTROESOPHAGEAL REFLUX DISEASE: WEIGHT LOSS OUTCOMES, REFLUX-RELATED SYMPTOMS, ENDOSCOPIC AND pH MONITORING FINDINGS"},"content":{"rendered":"<h2>BACKGROUND:<\/h2>\n<p>The association of gastric plication with fundoplication is a reliable option for the treatment of individuals with obesity associated with gastroesophageal reflux disease.<\/p>\n<h2>AIMS:<\/h2>\n<p>To describe weight loss, endoscopic, and gastroesophageal reflux disease-related outcomes of gastric plication with fundoplication in individuals with mild obesity.<\/p>\n<h2>METHODS:<\/h2>\n<p>A retrospective cohort study was carried out, enrolling individuals who underwent gastric plication with fundoplication at a tertiary private hospital from 2015\u20132019. Data regarding perioperative and weight loss outcomes, endoscopic and 24-hour pH monitoring findings, and gastroesophageal reflux disease-related symptoms were analyzed.<\/p>\n<h2>RESULTS:<\/h2>\n<p>Of 98 individuals, 90.2% were female. The median age was 40.4 years (IQR 32.1\u201347.8). The median body mass index decreased from 32 kg\/m<sup>2<\/sup>\u00a0(IQR 30,5\u201334) to 29.5 kg\/m<sup>2<\/sup>\u00a0(IQR 26.7\u201333.9) at 1\u20132 years (p&lt;0.05); and to 27.4 kg\/m<sup>2<\/sup>\u00a0(IQR 24.1\u201330.6) at 2\u20134 years (p=0.059). The median percentage of total weight loss at 1\u20132 years was 7.8% (IQR \u22124.1\u201314.7) and at 2\u20134 years, it was 16.4% (IQR 4.3\u201324.1). Both esophageal and extra-esophageal symptoms showed a significant reduction (p&lt;0.05). A significant decrease in the occurrence of esophagitis was observed (p&lt;0.01). The median DeMeester score decreased from 30 (IQR 15.1\u201348.4) to 1.9 (IQR 0.93\u20135.4) (p&lt;0.0001).<\/p>\n<h2>CONCLUSIONS:<\/h2>\n<p>The gastric plication with fundoplication proved to be an effective and safe technique, leading to a significant and sustained weight loss in addition to endoscopic and clinical improvement of gastroesophageal reflux disease.<\/p>","protected":false},"excerpt":{"rendered":"<p>BACKGROUND: The association of gastric plication with fundoplication is a reliable option for the treatment of individuals with obesity associated with gastroesophageal reflux disease. AIMS: To describe weight loss, endoscopic, and gastroesophageal reflux disease-related outcomes of gastric plication with fundoplication in individuals with mild obesity. METHODS: A retrospective cohort study was carried out, enrolling individuals [&hellip;]<\/p>","protected":false},"author":4,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_lmt_disableupdate":"","_lmt_disable":"","footnotes":""},"categories":[9],"tags":[122,938,198,43,164],"acf":[],"modified_by":"Daniel","_links":{"self":[{"href":"https:\/\/revistaabcd.org.br\/pt-br\/wp-json\/wp\/v2\/posts\/4977"}],"collection":[{"href":"https:\/\/revistaabcd.org.br\/pt-br\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/revistaabcd.org.br\/pt-br\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/revistaabcd.org.br\/pt-br\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/revistaabcd.org.br\/pt-br\/wp-json\/wp\/v2\/comments?post=4977"}],"version-history":[{"count":0,"href":"https:\/\/revistaabcd.org.br\/pt-br\/wp-json\/wp\/v2\/posts\/4977\/revisions"}],"wp:attachment":[{"href":"https:\/\/revistaabcd.org.br\/pt-br\/wp-json\/wp\/v2\/media?parent=4977"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/revistaabcd.org.br\/pt-br\/wp-json\/wp\/v2\/categories?post=4977"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/revistaabcd.org.br\/pt-br\/wp-json\/wp\/v2\/tags?post=4977"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}