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Universidad  de  Guadalajara Septiembre 2011  Esophageal   Pathology Centro Universitario Ciencias de la Salud  Clínicas Quirúrgicas Mayra C. Silva Camarena 206558747 Dr. Benjamin Robles Mariscal Dr. Héctor Manuel Virgen Ayala
Anatomy 40-45 cm aortic arch  left main bronchiole  esophageal hiatus
H istology
P hysiology ,[object Object],Upper   Esophageal Sphincter Lower   Esophageal Sphincter Esophageal  Body
G astroesophageal  r eflux   disease
75 % of esophageal  diseases 20-40 % of the  adult  population suffers
P athogenesis ,[object Object],Transient relaxation Hiatal hernia secondary to gastric abnormalities
C linical  M anifestations ,[object Object],Cough  Nausea  Vomiting  Postprandial Fullness  Drowning  Wheezing  Chest pain  Dysphonia  Dental erosions
D ifferential diagnosis  ,[object Object],[object Object],[object Object],[object Object]
C omplications  ,[object Object],5 8% 23 % 11% 0% 42% 77% 89% 100 %
E sophagitis Grade   1 Grade   2 Grade  3 Grade   4
T reatment   ,[object Object],[object Object],[object Object]
Surgical  treatment ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
Nissen   fundoplication
 
F orecast ,[object Object],Characteristic  90% Atypical   70%
 
Hiatal hernia  ,[object Object],[object Object],[object Object]
Hiatal hernia  ,[object Object],[object Object],[object Object]
Hiatal hernia  ,[object Object],[object Object],[object Object]
S ymptom s ,[object Object],I Dysphagia  Postprandial fullness  Anemia  Dyspnoea  Pneumonia  II
D iagnosis   ,[object Object],[object Object],[object Object]
D iagnosis   ,[object Object],[object Object],[object Object]
D iagnosis   ,[object Object],[object Object],[object Object]
T reatment
Parasternal Retrosternal  Pleuroperitoneal  Hernia
Morgagni
Bochdalek
Traumatic Diaphragmatic Hernia  ,[object Object],[object Object]
Bibliography ,[object Object],[object Object],[object Object]

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Esophageal pathology

Notas do Editor

  1. Respiratorias: tos cronica, asma, neumonia por broncoaspiracion, lesion de cuerdas, fibrosis pulmonar
  2. Se observa el estomago llenod e contraste migrado hacia el torax atraves del agujero diafragmatico paraesternal
  3. Se muestra ausencia de la silueta diafragmatica izquierda asi como la presencia de contenido gastrointestinal en hemitorax izquierdo
  4. Se identifica nivel hidroaereo en hemitorax izquierdo