2023-01-132023-01-132007BRITO, Ivanilson Raniéri; BELUSSO, Luana; CRUZ, Thielle Cavalcante da. Avaliação epidemiológica, clínica e endoscópica de obesos com ênfase ao refluxo gastroesofágico. Orientador: Marcus Vinicius Henriques Brito. 2007. 117 f. Trabalho de Curso (Bacharelado em Medicina) - Faculdade de Medicina, Instituto de Ciências da Saúde, Universidade Federal do Pará, Belém, 2007. Disponível em: https://bdm.ufpa.br:8443/jspui/handle/prefix/4946. Acesso em:.https://bdm.ufpa.br/handle/prefix/4946Introduction: obesity is a chronic disease, considered as a problem of worldwide public health by predisposing to the development of countless associated diseases. Among them, the gastroesophageal reflux disease (GERD) assumes great importance, with a larger prevalence in the obese population than in the non-obese, affecting the quality of life of the patients. Objectives: to analyze epidemiological, clinical and endoscopical aspects of obese patients in the preoperative of bariatric surgery, with emphasis on gastroesophageal reflux. Casuistry and methods: a prospective, longitudinal, observacional, of cohort, comparative and with a control group present study was accomplished. The research was accomplished at a private hospital, in a shopping center and streets of Belem, in the period of June 01, 2006 on July 31, 2007. The size of the sample belonged to 170 individuals, which were distributed in two groups of 85 people each: obesity group (constituted for obese patient with surgical indication of bariatric surgery) and control group (composed by non-obese individuals chosen at random). For the collection of the data, the authors accomplished a clinic interview and revision of the esophagogastroduodenoscopy (EGD) laudo of the participants of both groups, following a research protocol. The comparative statistical analysis was done by the program BioEstat 4.0. Results and conclusion: in obese individuals, GERD was more prevalent in the feminine sex – 20% (17/71), in the age group below the 55 years – 22,35% (19/78), in the brown colour – 14,12% (13/52), in no-single – 22,36% (19/54), with elementary education – 23,52% (20/66) and with monthly income below five minimum wages – 17,65% (15/53). In the association of GERD with age group and marital status, there was statistical significancy (p <0,0105 and p=0,0026, respectively), and with monthly income, there was a tendency to the significancy (p=0,0603). There was a larger prevalence of typical, that is, heartburn – 60% (51/85) and regurgitation – 60% (51/85), and atypical symptoms of GERD in obese individuals, with a significant difference (p=0,0007 and p <0,0013, respectively). There wasn’t difference among the groups about the results of the exams of EGD, and this was normal in 61,18% (52/85) of the obese individuals and in 75,29% (64/85) of the non-obese (p=0,0745). Also, it was observed that EGD was capable to diagnose esofagitis in about a third of the individuals that presented clinic GERD, in both groups. In the obesity group, there was a larger prevalence of clinical and/or endoscopic GERD – 24,71% (21/85), if compared to the control group – 15,29% (13/85), however, without statistical significancy (p=0,1315).Acesso AbertoRefluxo gastroesofágicoObesidadeEpidemiologiaGastroesophageal refluxObesityEpidemiologyCNPQ::CIENCIAS DA SAUDE::MEDICINATrabalho de Curso - Graduação - Monografia