Prevalência de manifestações esofagogastroduodenais em pacientes com HIV/Aids, submetidas à endoscopia digestiva alta, no Hospital Universitário de Brasília

AUTOR(ES)

Maria Eleniza Bezerra

DATA DE PUBLICAÇÃO

2006

RESUMO

With aim of characterize the esophagic, gastric and duodenal manifestations among patient with AIDS submitted to upper digestive endoscopy in the University Hospital of Brasília, we accomplished a transverse descriptive study. There were included all the patients with confirmed diagnosis of HIV infection submitted to upper endoscopy among the period of april 2002 to april 2005, with sample constituted of 75 patients. The sample was constituted of 46 (61,3%) of men and the medium age was 40 11,33 years. The medium of the diagnosis time was 41 months. Except for an individual, all the patients were in AIDS stage; with medium of limphocytes TCD4 of 92 cells / μL and load viral 35.470 copies/mL. The main indications for the endocopy were weight loss, diarrhea, epigastric pain, dysphagia, nausea and vomiting; with 47,2%, 44,6%, 36,4%, 32,4% and 23% respectively, and digestive bleeding and odynophagia with 12% each. Ten patients (13,3%) showed normal endoscopy. These showed larger values of CD4, even so without significant statistical difference with those individuals with abnormal findings (p=0,697). The main macroscopic alterations founded were gastritis (60%), esophagitis (54,6%), duodenitis (12%) and ulcerated lesions in 8% of cases. Opportunistic diseases were more frequently diagnosed in esophagus, with 40,4% of patients. Esophagical candidiasis were seen in nine patients, citomegalovírus infection in six and herpes simplex in four individuals. The prevalence of Helicobacter pylori infection was 57,1%(20/35) and its presence was associated with chronic gastritis. There was not association between odynophagia neither dysphagia with any etiological diagnosis, characterizing those symptoms as inaccurate.

ASSUNTO(S)

manifestações esofagogastroduodenais medicina tropical endoscopia digestiva alta endoscopia pessoas hiv-positivo medicina medicina tropical

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