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Esophageal pathology

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Clinicas Quirurgicas
EducationHealth & Medicine
1 of 31
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

Editor's Notes

  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