Esophageal pathology

1,328 views
950 views

Published on

Published in: Education, Health & Medicine
0 Comments
1 Like
Statistics
Notes
  • Be the first to comment

No Downloads
Views
Total views
1,328
On SlideShare
0
From Embeds
0
Number of Embeds
3
Actions
Shares
0
Downloads
234
Comments
0
Likes
1
Embeds 0
No embeds

No notes for slide
  • Respiratorias: tos cronica, asma, neumonia por broncoaspiracion, lesion de cuerdas, fibrosis pulmonar
  • Se observa el estomago llenod e contraste migrado hacia el torax atraves del agujero diafragmatico paraesternal
  • Se muestra ausencia de la silueta diafragmatica izquierda asi como la presencia de contenido gastrointestinal en hemitorax izquierdo
  • Se identifica nivel hidroaereo en hemitorax izquierdo
  • Esophageal pathology

    1. 1. 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
    2. 2. Anatomy 40-45 cm aortic arch left main bronchiole esophageal hiatus
    3. 3. H istology
    4. 4. P hysiology <ul><li>Motor funcion </li></ul>Upper Esophageal Sphincter Lower Esophageal Sphincter Esophageal Body
    5. 5. G astroesophageal r eflux disease
    6. 6. 75 % of esophageal diseases 20-40 % of the adult population suffers
    7. 7. P athogenesis <ul><li>Retrograde reflux of gastric contents into the esophagus, which produces symptoms and damages the mucosa </li></ul>Transient relaxation Hiatal hernia secondary to gastric abnormalities
    8. 8. C linical M anifestations <ul><li>Pyrosis Regurgitation Dysphagia </li></ul>Cough Nausea Vomiting Postprandial Fullness Drowning Wheezing Chest pain Dysphonia Dental erosions
    9. 9. D ifferential diagnosis <ul><li>Irritable bowel syndrome </li></ul><ul><li>Achalasia </li></ul><ul><li>Cholelithiasis </li></ul><ul><li>Coronary artery disease </li></ul>
    10. 10. C omplications <ul><li>None Erosive esophagitis Stenosis Barrett's Esophagus </li></ul>5 8% 23 % 11% 0% 42% 77% 89% 100 %
    11. 11. E sophagitis Grade 1 Grade 2 Grade 3 Grade 4
    12. 12. T reatment <ul><li>Changes in lifestyle </li></ul><ul><li>Medical Treatment </li></ul><ul><li>Surgical treatment </li></ul>
    13. 13. Surgical treatment <ul><li>1 Restore the LES pressure and length </li></ul><ul><li>2 Sphincter placement in the abdomen </li></ul><ul><li>3 Allow the cardia to relax during deglution </li></ul><ul><li>4 Not increase the resistance of the sphincter above the capacity peristaltic esophageal body </li></ul><ul><li>5 Allow the fundoplication is in place </li></ul>
    14. 14. <ul><li>Nissen fundoplication </li></ul><ul><li>Toupet Funduplication </li></ul><ul><li>Belsey Mark Funduplication </li></ul><ul><li>Gastroplasty </li></ul>
    15. 15. Nissen fundoplication
    16. 17. F orecast <ul><li>Control </li></ul>Characteristic 90% Atypical 70%
    17. 19. Hiatal hernia <ul><li>Type I </li></ul><ul><li>Type II </li></ul><ul><li>Type III </li></ul>
    18. 20. Hiatal hernia <ul><li>Type I </li></ul><ul><li>Type II </li></ul><ul><li>Type III </li></ul>
    19. 21. Hiatal hernia <ul><li>Type I </li></ul><ul><li>Type II </li></ul><ul><li>Type III </li></ul>
    20. 22. S ymptom s <ul><li>Pyrosis Regurgitation Mechanical failure of the LES have </li></ul>I Dysphagia Postprandial fullness Anemia Dyspnoea Pneumonia II
    21. 23. D iagnosis <ul><li>X-ray </li></ul><ul><li>Barium test </li></ul><ul><li>Esophagoscopy </li></ul>
    22. 24. D iagnosis <ul><li>X-ray </li></ul><ul><li>Barium test </li></ul><ul><li>Esophagoscopy </li></ul>
    23. 25. D iagnosis <ul><li>X-ray </li></ul><ul><li>Barium test </li></ul><ul><li>Esophagoscopy </li></ul>
    24. 26. T reatment
    25. 27. Parasternal Retrosternal Pleuroperitoneal Hernia
    26. 28. Morgagni
    27. 29. Bochdalek
    28. 30. Traumatic Diaphragmatic Hernia <ul><li>C linical M anifestations </li></ul><ul><li>Acute Chronic </li></ul>
    29. 31. Bibliography <ul><li>G. M. Doherty. “Diagnóstico y tratamiento Quirúrgicos” , thirteenth edition, México; 2006. Page. 366-367; 375-388 </li></ul><ul><li>F. C. Brunicardi, “Principios de Cirugia” , octave edition, Mexico; 2004. </li></ul><ul><li>Page.860-872;916-923. </li></ul>

    ×