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HIPERTENSION PORTALHIPERTENSION PORTAL
DR. NESTOR MARTINEZ HERNANDEZ MAGRODR. NESTOR MARTINEZ HERNANDEZ MAGRO
DEPTO DE CIRUGIADEPTO DE CIRUGIA
FACULTAD DE MEDICINA UAGFACULTAD DE MEDICINA UAG
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HIPERTENSION PORTALHIPERTENSION PORTAL
PRESION PORTAL ARRIBA DE 8 mm HgPRESION PORTAL ARRIBA DE 8 mm Hg
INCREMENTO DE PRESION VENA PORTA Y SUS AFLUENTESINCREMENTO DE PRESION VENA PORTA Y SUS AFLUENTES
DESRROLLO DE CIRCULACION VENOSA COLATERALDESRROLLO DE CIRCULACION VENOSA COLATERAL
DESDE EL SISTEMA PORTA A LA CIRCULACION GENERALDESDE EL SISTEMA PORTA A LA CIRCULACION GENERAL
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HIPERTENSION PORTALHIPERTENSION PORTAL
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HIPERTENSION PORTALHIPERTENSION PORTAL
ETIOLOGIAETIOLOGIA
PREHEPATICA
TROMBOSIS DE LA VENA PORTA O ESPLENICA COMPRESION EXTRINSECA DE LA VENA PORTA FISTULA ARTERIOVENOSA
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HIPERTENSION PORTALHIPERTENSION PORTAL
ETIOLOGIA
HEPATICA
CIRROSIS ESQUISOSTOMIASIS FIBROIS HEPATICA CONGENITA
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HIPERTENSION PORTALHIPERTENSION PORTAL
ETIOLOGIA ETIOLOGIA
POSTHEPATICA
SINDROME DE BUDD- CHIARI PERICARDITIS CONSTRICTIVA
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HIPERTENSION PORTALHIPERTENSION PORTAL
MANIFESTACIONES CLINICASMANIFESTACIONES CLINICAS
VARICES ESOFAGICASASCITISINSUFICIENCIA HEPATICAENCEFALOPATIA HEPATICA
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HIPERTENSION PORTALHIPERTENSION PORTAL
VARICES ESOFAGICASVARICES ESOFAGICAS
RESULTAN DE LA DERIVACION DE SANGRE A TRAVESDE LA VENA CORONARIA ESTOMAQUICA (GASTRICA IZQ)HACIA EL PLEXO SUBMUCOSO DEL ESOFAGO
CUANDO LA PRESION EN ESTAS ES MAYOR DE 12 mmHgOCURRE ROTURA ESPONTANEA HASTA EN 30%
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HIPERTENSION PORTALHIPERTENSION PORTAL
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HIPERTENSION PORTALHIPERTENSION PORTAL
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HIPERTENSION PORTALHIPERTENSION PORTAL
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HIPERTENSION PORTALHIPERTENSION PORTAL
ASCITISASCITIS
CONDICIONADA POR HIPERTENSION VASCULAR A NIVELSINUSOIDAL HEPATICOEL AUMENTO DE LA PRESION EN LA VENA ESPLENICAOCASIONA CONGESTION QUE PUEDE OCASIONAR HIPERESPLENISMO ( ANEMIA, LEUCOPENIA, PLAQUETOPENIA)
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HIPERTENSION PORTALHIPERTENSION PORTAL
ACUMULACION DE LIQUIDO EN CAVIDAD PERITONEALACUMULACION DE LIQUIDO EN CAVIDAD PERITONEAL
POR EXUDACION O TRANSUDACION, PUEDE SERPOR EXUDACION O TRANSUDACION, PUEDE SER
LEVE, MODERADA O SEVERALEVE, MODERADA O SEVERA
EL LIQUIDO ESTA COMPUESTO POR AGUA LINFA HEPATICA EEL LIQUIDO ESTA COMPUESTO POR AGUA LINFA HEPATICA E
INTESTINAL Y PROTEINASINTESTINAL Y PROTEINAS
HAY RETENCION DE SODIO, AGUA E HIPOPROTEINEMIAHAY RETENCION DE SODIO, AGUA E HIPOPROTEINEMIA
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HIPERTENSION PORTALHIPERTENSION PORTAL
TRATAMIENTOTRATAMIENTO
REPOSORESTRICCION DE SODIODIURETICOS: ESPIRONOLACTONA FUROSEMIDA HIDROCLOROTIAZIDA
QX: PARACENTESIS SHUNTS PORTOSISTEMICOS SHUNT PERITONEO VENOSO
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HIPERTENSION PORTALHIPERTENSION PORTAL
HIPERAMONEMIAHIPERAMONEMIA
ENCEFALOPATIAENCEFALOPATIA
COMA HEPATICOCOMA HEPATICO
EL DETERIORO PROGRESIVO DE LA FUNCION HEPATICAOCASIONA:
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HIPERTENSION PORTALHIPERTENSION PORTAL
TRATAMIENTO DE ENCEFALOPATIA:TRATAMIENTO DE ENCEFALOPATIA:
RESTRICCION PROTEICARESTRICCION PROTEICA
CATARTICOSCATARTICOS
NEOMICINANEOMICINA
EXCLUSION DE COLONEXCLUSION DE COLON
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HIPERTENSION PORTALHIPERTENSION PORTAL
DIAGNOSTICO CLINICODIAGNOSTICO CLINICO
DATOS DE ENFERMEDAD ETIOLOGICA DE HIPERTENSION PORTAL
EFECTOS DE LA HIPERTENSION PORTAL
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HIPERTENSION PORTALHIPERTENSION PORTAL
DIAGNOSTICO POR IMAGENESDIAGNOSTICO POR IMAGENES
ESPLENOPORTOGRAFIA: PONE DE MANIFIESTO EL EJE VENOSO ESPLENOPORTAL, VENA ESPLENICA-VENA PORTA.
VENOGRAFIA PORTAL TRANSUMBILICAL
VENOGRAFIA SUPRAHEPATICA
VENOGRAFIA PORTAL TRANSPARIETOHEPATICA
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HIPERTENSION PORTALHIPERTENSION PORTAL
DIAGNOSTICODIAGNOSTICO
ENDOSCOPICO: ESOFAGOGASTRODUODENOCOPIA SIRVE PARA DIAGNOSTICO Y PARA TRATAMIENTO DE VARICES YASEA ESCLEROTERAPIA O LIGADURA POR BANDAS
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HIPERTENSION PORTALHIPERTENSION PORTAL
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HIPERTENSION PORTALHIPERTENSION PORTAL
TRATAMIENTO MEDICOTRATAMIENTO MEDICO
VASOPRESINA: VASOCONSTRICCION ARTERIAS MESENTERICAS REDUCCION DEL FLUJO PORTAL DESCENSO PRESION
GLIPRESINA: SEMEJANTE A VASOPRESINA SIN EFECTOS SISTEMICOS
SOMATOSTATINA: DISMINUYE FLUJO PORTAL HEPATICO
OCREOTIDE: ANALOGO DE SOMATOSTATINA SIN EFECTO DE REBOTE
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HIPERTENSION PORTALHIPERTENSION PORTAL
TRATAMIENTO MEDICOTRATAMIENTO MEDICO
DINITRATO DE ISOSORBIDE: VASODILATADOR, DISMINUYE PRESION PORTAL
PROPANOLOL: BLOQ ADRENERGICO, PRODUCE VASOCONSTRICCION ARTERIOLAR ESPLACNICA, REDUCE PRESION PORTAL Y REDUCCION DEL FLUJO PORTAL
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HIPERTENSION PORTALHIPERTENSION PORTAL
TRATAMIENTOTRATAMIENTO
TAPONAMIENTO CON BALON: SENGSTAKEN- BLAKEMORE
ESCLEROTERAPIA ENDOSCOPICA
LIGADURA POR BANDAS
EMBOLIZACION TRANSHEPATICA PERCUTANEA (EMBOLIADE VENA CORONARIA ESTOMAQUICA)
TIPS ( DERIVACION PORTOSISTEMICA INTRAHEPATICA TRANSYUGULAR)
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HIPERTENSION PORTALHIPERTENSION PORTAL
TRATAMIENTO QUIRURGICOTRATAMIENTO QUIRURGICO
TECNICAS DERIVATIVAS: CORTOCIRCUITO PORTO-CAVA CORTOCIRCUITO ESPLENORRENAL TERMINOLATERAL CORTOCIRCUITO ESPLENORRENAL DISTAL
TECNICAS NO DERIVATIVAS: LIGADURA DE VARICES Y SECCION ESOFAGICA TECNICAS DE DESCONEXION PORTA-ACIGOS DEVASCULARIZACION EXTERNA GASTROESOFAGICA
TRANSPLANTE DE HIGADO
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HIPERTENSION PORTALHIPERTENSION PORTAL
GRACIASGRACIAS
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HIPERTENSION PORTALHIPERTENSION PORTAL
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HIPERTENSION PORTALHIPERTENSION PORTAL
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HIPERTENSION PORTALHIPERTENSION PORTAL
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HIPERTENSION PORTALHIPERTENSION PORTAL
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HIPERTENSION PORTALHIPERTENSION PORTAL