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dc.contributor.authorAires, Nádia Barbosapt_BR
dc.contributor.authorCruz, Carlos Augusto Teixeirapt_BR
dc.contributor.authorVianna, André Luizpt_BR
dc.date.accessioned2017-12-07T04:35:39Z-
dc.date.available2017-12-07T04:35:39Z-
dc.date.issued2002pt_BR
dc.identifier.citationAIRES, Nádia Barbosa; CRUZ, Carlos Augusto Teixeira; VIANNA, André Luiz. Necrose da mucosa esofágica como complicação da cardiomiotomia à heller para tratamento de megaesôfago chagásico. Revista do Colégio Brasileiro de Cirurgiões, v. 29, n. 5, p. 307-308, 2002. DOI: https://doi.org/10.1590/S0100-69912002000500012. Disponível em: https://www.scielo.br/j/rcbc/a/mZ9NLy4FtXmDHKQxzMQkKCs/?lang=pt#. Acesso em: 10 set. 2021.pt_BR
dc.identifier.urihttp://repositorio.unb.br/handle/10482/25868-
dc.language.isoptpt_BR
dc.publisherColégio Brasileiro de Cirurgiõespt_BR
dc.rightsAcesso Abertopt_BR
dc.titleNecrose da mucosa esofágica como complicação da cardiomiotomia à heller para tratamento de megaesôfago chagásicopt_BR
dc.title.alternativeNecrosis of esophageal mucosa as a heller cardiomyotomy complication in the treatment of achalasia in chagas' disease-
dc.typeArtigopt_BR
dc.subject.keywordAcalasia esofágicapt_BR
dc.subject.keywordEsôfagopt_BR
dc.subject.keywordCirurgiapt_BR
dc.rights.licenseRevista do Colégio Brasileiro de Cirurgiões - This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License (CC BY NC). Fonte: https://www.scielo.br/j/rcbc/a/mZ9NLy4FtXmDHKQxzMQkKCs/?lang=pt#. Acesso em: 10 set. 2021.-
dc.identifier.doihttps://dx.doi.org/10.1590/S0100-69912002000500012pt_BR
dc.description.abstract1This article presents a complication of the laparoscopic technique for Heller cardiomyotomy and anterior fundoplication. This procedure is safe and provides excellent relief of disphagia in esophageal achalasia. Nevertheless, there are rare but dangerous complications, such as late active digestive bleeding, presented in this paper which was resistant to conservative treatment and led to hypovolemic shock. Urgent laparotomy performed to identify and control bleeding, revealed necrosis of esophageal mucosa with a bleeding gastric vessel. Inadequate exposure of the gastroesophageal junction and an incision very close to the lesser curvature might have damaged the esophageal branches of the left gastric artery, leading to ischemic necrosis of the mucosa and exposure of the gastric wall and its vessels.-
dc.description.unidadeFaculdade de Medicina (FM)-
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