ERGE Flashcards

(21 cards)

1
Q

Que es la acalasia ?

A

es la ausencia de relajacion del EEI

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2
Q

CAUSA DEL ERGE?

A

Incompetencia del EEI <6mmhg (tono normal 15 mmgh)

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3
Q

PH normal del esofago?

A

> 5

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4
Q

ph NORMAL DEL ESTOMAGO?

A

1 A 2

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5
Q

clinica mas frecuente por enf ERGE?

A

PIROSIS o regurgitacion acida

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6
Q

sintomas extraesofagicos asociaciones establecidas?

A

tos laringitis asma erosiones dentales

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7
Q

DX GOLD ESTANDAR?

A

Phmetria en 24h

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8
Q

erge en la phmetria en ?

A

ph <4, en el 4% del tiempo

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9
Q

si el px por endoscopia baja tiene LOS ANGELES B/C/D?

A

Enf de reflujo gastro esofagico

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10
Q

tto de eleccion para ERGE?

A

IBP

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11
Q

Si no mejora con IBP?

A

suplicamos dosis o cambiamos de IBP

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12
Q

Si no mejora aumentando dosis y cambiando de IBP?

A

funduplicatura Nissen 360

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13
Q

ERGE Cronico es de?

A

> 5 AÑOS

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14
Q

que es el esof de barret?

A

es una metaplasia intestinal (cambio de epiletio del esofago POR EPI CILINDRICO SIMPLE CON CEL CALICIFORMES

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15
Q

Fcto de riesgo para esof de barret?

A

erge cronico / >50 años /obesidad / tabaquismo / ant familiares

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16
Q

TTO DSIN DISPLASIA ?

A

VIGILANCIA CD 3 a 5 años

17
Q

TTO para displasia de bajo grado?

A

terapia endoscopica o vigilancia cada 12 meses

18
Q

tto para displasia de alto grado ?

A

terapia endoscopica (alacion con radio frecuencia)

19
Q

tto para cancer in situ?

20
Q

tto de esof de barrett?

21
Q

Q TIPO DE CA DE ESOFAGO PREFISPONE EL ESOFAGO DE BARRETT?

A

Adenocarcinoma de esofago