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Endoscopia de T.D.A.Endoscopia de T.D.A.(Panendoscopia)
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GeneralidadesGeneralidades
Panendoscopia de T.D.A.EsofagogastroduodenoscopiaDiagnstica y/o teraputicaProcedimiento de eleccin para el diagnstico de patologas del tubo digestivo alto.
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Generalidades (2)Generalidades (2)
FibroendoscopiaVideoendoscopiaAccesorios diagnsticos y teraputicos:• Cepillos, pinzas (biopsia, para cuerpos extraños), inyectores, guías, dilatadores, asas, etc
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RequerimientosRequerimientos
Personal capacitado’Mdico endoscopista’Enfermera entrenada’Anestesilogo (no siempre)Unidad equipada’Monitor con oxmetro’Carro rojo’Cama para recuperacin
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PreparaciPreparacin:n:
Pacientes sin o de bajo riesgoAyuno de 6 a 8 horasAnestesia local de faringeDecbito lateral izquierdaSedacin IV (midazolam)
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PreparaciPreparacin (2):n (2):
Pacientes de alto riesgoAyuno, anestesia, posicin y sedacin igual que cualquier pacientePresencia de anestesilogo en la salaIntubacin endotraquealMonitoreo
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IndicacionesIndicaciones
Para diagnstico’Por visualizacin’Toma de muestrasPara tratamiento’Curativo’Paliativo
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IndicacionesIndicaciones
Dx y Rx de hemorragia digestivaDx definitivo de cncerDx y seguimiento de lesiones premalignasDx de enfermedades cido ppticasDx definitivo de plipos y estenosisDx de dolor abdominal T.D.A.Seguimiento postquirrgico
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ContraindicacionesContraindicaciones
Absolutas:
•Insuf. Cardio-respiratoria grave•No aceptación del paciente•Quemaduras graves del TDA•Sospecha de perforación
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ContraindicacionesContraindicaciones
Relativas:
•Infecciones transmisibles•Paciente inestable•Psicópatas agresivos•Cirugía reciente del TDA
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TerapTeraputicautica
Tratamiento de estenosis:’Dilataciones (esfago, ploro)Control de hemorragias’Esclerosis, ligadura vasos’Cauterizacin (lasser, electro, heat probe)Mucosectoma’Ablacin (argn plasma, lasser)
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TerapTeraputica (2)utica (2)
Extraccin cuerpos extraosColocacin de sondas’Gastrostoma’YeyunostomaPolipectomaTratamientos paliativos’Colocacin de prtesis
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Complicaciones:Complicaciones:
Endoscopia diagnstica’Morbilidad 1/1,000’Mortalidad 1/10,000InexperienciaIncompetenciaSedacin excesiva
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Complicaciones (2)Complicaciones (2)
Reacciones a medicamentos’Idiosincrasia’SobredosificacinPulmonares’Hipoxia’Broncoaspiracin
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Unin esfago-gstrica normal
ESFAGO
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ESFAGO
Divertculo de Zenker
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ESFAGO
Divertculo verdadero de tercio medio
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ESFAGO
Mallory-Weiss agudo sin sangrado
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ESFAGO
Mallory-Weiss agudo con sangrado activo
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Hernia hiatal paraesofgica
ESFAGO
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Hernia hiatal deslizante (vista gstrica)
ESFAGO
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Hernia hiatal deslizante (vista esofgica)
ESFAGO
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Anillo de Schatzky
ESFAGO
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Angiodisplasia en antro
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Adenocarcinoma difuso en antro
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Postoperado Bilrroth I
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Postoperado Bilrroth II
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Cncer gstrico ulcerado
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Bulbo duodenal normal
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lcera duodenal
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Angiodisplasia en duodeno
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Plipo hiperplsico en duodeno
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lcera duodenal con estigma de sangrado reciente