Perfil epidemiológico e associação clínico-radiológica dos pacientes com megaesôfago chagásico acompanhados no Hospital das Clínicas da UFG, no período de 1998 a 2010

• Ano de defesa: 2013
• Autor(a) principal: SOUZA, Diogo Henrique Saliba de
• Orientador(a): Oliveira, Ênio Chaves de
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade Federal de Goiás
• Programa de Pós-Graduação: Programa de Pós-graduação em Ciências da Saúde (FM)
• Departamento: Faculdade de Medicina - FM (RG)
• País: Brasil
• Palavras-chave em Português: Megaesôfago chagásico; Doença de chagas; Epidemiologia
• Palavras-chave em Inglês: Chagasic megaesophagus; Chagas disease; Epidemiology
• Área do conhecimento CNPq: SAUDE COLETIVA::EPIDEMIOLOGIA
• Link de acesso: http://repositorio.bc.ufg.br/tede/handle/tde/3006

Introduction: Chagasic megaesophagus (CM) is the most common digestive manifestation of Chagas’ Disease (CD) in Brazil and the State of Goiás is one of the most affected regions. The Hospital das Clínicas (HC)/ Universidade Federal de Goiás (UFG) is a reference center for study and treatment of CM in the last decades. The objective of this study was to characterize the current epidemiological profile of patients with CM seen at the HC of the UFG, from 1998 to 2010. Methodology: Nine hundred thirty-nine patients' records were analyzed and age, gender, place of birth, serology, symptoms and radiological classification according to Rezende et al. were analyzed. Results: The median age of patients was 55 years old. Male patients were the most prevalent, 54%. The prevalence of younger patients, less than 31 years old, was 4.2% but 82.1% of them were from Bahia State. Patients with more than 40 years old, were majority (85.5%). The radiological groups were distributed as follows: group I (35.9%), group II (32.9%), group III (17%) and group IV (14.2%). Dysphagia for solid was common in all radiological groups, however dysphagia for liquids, regurgitation and other gastrointestinal symptoms were significant in groups II, III and IV. Conclusion: Compared to previous studies by the same group in 1975, 1994 and 1995, the number of younger patients decreased and the frequency curve is shifting to older ages.