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Introducao a Fisica Estatistica - Sílvio R. A - Documents · Introducao a Fisica Estatistica - Sílvio R. A - Documents. 18 ago. Article (PDF Available) in Revista Brasileira de Ensino de Física 27(3) · September Silvio R. A. Salinas at University of São Paulo Mario Schönberg e a introdução do espaço de Fock na física estatística clássica. PDF | On Mar 1, , Alcaraz Francisco C and others published Special issue: Brazilian School on Statistical Mechanics, (Escola Brasileira de Mecânica Estatística, EBME) Silvio R. A. Salinas at University of São Paulo · Silvio R. A.

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Introducao a Fisica Estatistica - Sílvio R. A - Ebook download as PDF File .pdf), Text File .txt) or read book online. Download Introducao a Fisica Estatistica - Sílvio R. A Veja grátis o arquivo Salinas Solution enviado para a disciplina de Introdução à Mecânica Estatística Categoria: Outros -

This work is licensed under a Creative Commons Attribution 4. This article has been cited by other articles in PMC. Abstract Objective Sleeve gastrectomy is the fastest growing surgical procedure to treat obesity in the world but it may cause or worsen gastroesophageal reflux disease. This article originally aimed to describe the addition of anti-reflux procedures removal of periesophageal fats pads, hiatoplasty, a small plication and fixation of the gastric remnant in position to the usual sleeve gastrectomy and to report early and late results. Methods Eighty-eight obese patients that also presented symptoms of gastroesophageal reflux disease were submitted to sleeve gastrectomy with anti-reflux procedures.

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Upcoming SlideShare. Like this document? Why not share! Embed Size px. Post-operatively, since most did not present symptoms, just upper gastrointestinal series were provided for all.


More invasive exams, such as endoscopy and manometry, were not generally applied. Symptoms were classified, in relation to the pre-operative status as worse, unaltered, better or asymptomatic.

The use of PPIs was described as none, sporadic not continuous or continuous. The occurrence of dysphagia was also actively inquired. Procedure Under laparoscopy, first, the fat pads that cover the His angle and surround the esophageal-gastric transition were excised and removed for a better exposition of this point.

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Dissection started along the gastric greater curvature at a middle point, going up to the angle of His, releasing completely the gastric fundus, until the left arm of the diaphragmatic esophageal hiatus was well exposed. Then, from its right side, the esophagus was isolated and surrounded by a narrow Penrose drain to help with its traction, mobilization and exposure, bringing the stomach completely to the abdominal cavity, if there was a hiatal hernia.

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The right arm of the hiatus was also dissected and exposed. Fat pads that coul existed around the distal esophagus and may be very voluminous were removed. A 32F boogie was passed to the stomach. A hiatoplasty was performed as usual, with two or more stitches of non-absorbable material.

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