Patologia benigna esofago 2
Transcript of Patologia benigna esofago 2
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PATOLOGIA BENIGA DEL ESOFAGO
POR
JOSE D DIAZ N
SEGUNDA PARTE
RESIDENTE CIRUGIA GENERAL UNIVERSIDAD DE CARTAGENA
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REFLUJO GASTROESOFAGICO• REFLUJO PATOLOGICO DEL CONTENIDO
GASTRICO AL ESOFAGO
• 7% DE POBLACION OCCIDENTAL
• 12 USD BILLIONS
• HOMBRES = MUJERES
• > 50 AÑOS 40% MAS
• OBESOS 3 VECES MAS
GENERALIDADES
Shackelford's Surgery of the Alimentary Tract: Vol. 1by George D. Zuidema, Charles J. Yeo, Mark B. Orringer, Richard Heitmiller, Daniel T. Dempsey, Jeremiah G. Turcotte, John H. Pemberton, Keith D. Lillemoe
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PATOGENIA
• HISTORICAMENTE HERNIA HIATAL , DISFUNCION EEI.
• MULTIFACTORIAL
Shackelford's Surgery of the Alimentary Tract: Vol. 1by George D. Zuidema, Charles J. Yeo, Mark B. Orringer, Richard Heitmiller, Daniel T. Dempsey, Jeremiah G. Turcotte, John H. Pemberton, Keith D. Lillemoe
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TONO ESOFAGICO
Sabiston Textbook of Surgery, 17e (Sabiston Textbook of Surgery: The Biological Basis of Modern Practicsurgical Practice)
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GERD-NERD
J Neurogastroenterol Motil. 2010 January; 16(1): 8–21.Published online 2010 January 31. doi: 10.5056/jnm.2010.16.1.8
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MANIFESTACIONES CLINICAS
• PIROSIS
• REGURGITACION
• DISFAGIA
• ODINOFAGIA
http://med.javeriana.edu.co/publi/vniversitas/serial/v41n4/0043%20hernia.pdf
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MANIFESTACIONES CLINICAS EXTRAESOFAGICAS.
• proGERD 32.8% M.C.E
• DOLOR TORAXICO 14.5%
• TOS CRONICA 13%
• DESORDENES LARINGEOS 10.4%
• ASMA 4.8%
Alimentary Pharmacology & TherapeuticsVolume 35, Issue 1, pages 154–164, January 2012
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Med. oral patol. oral cir.bucal (Internet) v.11 n.1 Madrid ene.-feb. 2006
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ASOCIACIONES CLINICAS
Am J Otolaryngol. 2006 Mar-Apr;27(2):119-28.
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DIAGNOSTICOEMPIRICO
Sabiston Textbook of Surgery, 17e (Sabiston Textbook of Surgery: The Biological Basis of Modern Practicsurgical Practice)
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ESOFAGITIS NECROTIZANTE
http://www.youtube.com/watch?v=ndVnl9Vw8SQ
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MENOR USO
• ESOFAGOGRAMA
• MANOMETRIA
• SCINTIGRAFIA
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ENDOSCOPICO
Para ver esta película, debedisponer de QuickTime™ y de
un descompresor .
ESOHPYX®
http://www.youtube.com/watch?v=qXS4jHCWNvo
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ENDOSCOPICOSTRETTA®
http://www.youtube.com/watch?v=bCz1txeRe-Q&feature=related
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ENDOSCOPICOCRIOTERAPIA
http://www.youtube.com/watch?v=bCz1txeRe-Q&feature=related
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QUIRURGICOTOUPET
Sabiston Textbook of Surgery, 17e (Sabiston Textbook of Surgery: The Biological Basis of Modern Practicsurgical Practice)
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COMPLICACIONES
• ESOFAGO DE BARRETT
• HEMORRAGIA DIGESTIVA
• ULCERA ESOFAGICA
• ADENOCA ESOFAGICO
Sabiston Textbook of Surgery, 17e (Sabiston Textbook of Surgery: The Biological Basis of Modern Practicsurgical Practice)
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ESOFAGO DE BARRET
Para ver esta película, debedisponer de QuickTime™ y de
un descompresor .
http://www.youtube.com/watch?v=Fn4pB_TJhEk
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Text
CORTO Y LARGO
http://www.youtube.com/watch?v=NZAyBFsf134
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SEGUIMIENTO
• ENDOSCOPICO
• BIOPSIAS
• DEPENDE DE DISPLASIAS
http://med.javeriana.edu.co/publi/vniversitas/serial/v41n4/0043%20hernia.pdf
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TRATAMIENTO
• MEDICO
• ABLACION CON RADIOFRECUENCIA
• FUNDUPLICATURA
• ESOFAGUECTOMIA
http://med.javeriana.edu.co/publi/vniversitas/serial/v41n4/0043%20hernia.pdf
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TIPOS
http://med.javeriana.edu.co/publi/vniversitas/serial/v41n4/0043%20hernia.pdf
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EPIDEMIOLOGIA
• 5 X 1000
• MAYORIA ASINTOMATICOS
• PREVALENCIA DISCUTIDA PER SE
• 4 A 6 DECADA DE LA VIDA
• OCCIDENTAL
Shackelford's Surgery of the Alimentary Tract: Vol. 1by George D. Zuidema, Charles J. Yeo, Mark B. Orringer, Richard Heitmiller, Daniel T. Dempsey, Jeremiah G. Turcotte, John H. Pemberton, Keith D. Lillemoe
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ETIOLOGIA• ACORTAMIENTO FISIOLOGICO DE LAS
FIBRAS MUSCULARES LONGITUDINALES
• FACTORES QUE AUMENTAN PIA
• DIETA BAJA EN FIBRA Y ALTA EN GRASA
Shackelford's Surgery of the Alimentary Tract: Vol. 1by George D. Zuidema, Charles J. Yeo, Mark B. Orringer, Richard Heitmiller, Daniel T. Dempsey, Jeremiah G. Turcotte, John H. Pemberton, Keith D. Lillemoe
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MANIFESTACIONES CLINICAS
• SINTOMAS CLASICOS DE REFLUJO
• SEGMENTO HERNIADO ISQUEMICO
• PARAESOFAGICAS ASINTOMATICAS 90%
• VOLVULO GASTRICO(ISQUEMIA NECROSIS, MUERTE)
• ACORTAMIENTO ESOFAGICOShackelford's Surgery of the Alimentary Tract: Vol. 1
by George D. Zuidema, Charles J. Yeo, Mark B. Orringer, Richard Heitmiller, Daniel T. Dempsey, Jeremiah G. Turcotte, John H. Pemberton, Keith D. Lillemoe
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DIAGNOSTICO
Para ver esta película, debedisponer de QuickTime™ y de
un descompresor .
http://www.youtube.com/watch?v=Lo6RLE6tSms
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TRATAMIENTO
Sabiston Textbook of Surgery, 17e (Sabiston Textbook of Surgery: The Biological Basis of Modern Practicsurgical Practice)
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TUMORES BENIGNOS
• HOMBRES
• 4 TA 6TA DECADA
• TERCIO INFERIOR
• MUY RAROS
Shackelford's Surgery of the Alimentary Tract: Vol. 1by George D. Zuidema, Charles J. Yeo, Mark B. Orringer, Richard Heitmiller, Daniel T. Dempsey, Jeremiah G. Turcotte, John H. Pemberton, Keith D. Lillemoe
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TUMORES BENIGNOS
• DISFAGIA
• TOS
• ODINOFAGIA
• REGURGITACION
CLINICA
Shackelford's Surgery of the Alimentary Tract: Vol. 1by George D. Zuidema, Charles J. Yeo, Mark B. Orringer, Richard Heitmiller, Daniel T. Dempsey, Jeremiah G. Turcotte, John H. Pemberton, Keith D. Lillemoe
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CLASIFICACION
• CLASIFICACION SEGUN CAPA DE ORIGEN
• CLASIFICACION SEGUN REGION ANATOMICA DE ORIGEN
• CLASIFICACION SEGUN LOCALIZACION Y ASPECTO CLINICO
Shackelford's Surgery of the Alimentary Tract: Vol. 1by George D. Zuidema, Charles J. Yeo, Mark B. Orringer, Richard Heitmiller, Daniel T. Dempsey, Jeremiah G. Turcotte, John H. Pemberton, Keith D. Lillemoe
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TUMORES BENIGNOS
• LEIOMIOMA
• TUMOR DE CELULAS GRANULARES
• POLIPOS FIBROVASCULARES
• RABDOMIOMAS
• QUISTES
• PAPILOMAS
Shackelford's Surgery of the Alimentary Tract: Vol. 1by George D. Zuidema, Charles J. Yeo, Mark B. Orringer, Richard Heitmiller, Daniel T. Dempsey, Jeremiah G. Turcotte, John H. Pemberton, Keith D. Lillemoe
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LEIOMIOMA
Para ver esta película, debedisponer de QuickTime™ y de
un descompresor .
YOUTUBE.COM
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ASOCIACIONES CLINICAS
• ACALASIA
• DIVERTICULOS
• HERNIA HIATAL
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Para ver esta película, debedisponer de QuickTime™ y de
un descompresor .
TRATAMIENTO
• ENUCLEACION TUMORAL
• ESOFAGUECTOMIA
• ENDOSCOPICO
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ENDOSCOPICO
Rev. esp. enferm. dig. v.102 n.5 Madrid mayo 2010
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ESOFAGUECTOMIA
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ESOFAGOCOLOSTOMIA
WWW.GOOGLE/IMAGES
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ESOFAGOYEYUNOSTOMIA
WWW.GOOGLE/IMAGES
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FIN