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FISIOLOGIA DIGESTIVA (BCM II) Clase 3: Fisiopatología Esofágica Dr. Michel Baró Aliste
Endoscopic view of patient with achalasia of LES
Barium swallow in patient with achalasia of esophagus (A)
Barium swallow in patient with achalasia of esophagus (B)
Lateral radiograph of barium swallow in patient with achalasia of esophagus
Barium swallows of patient with secondary achalasia (A)
Barium swallows of patient with secondary achalasia (B)
Manometric tracing from patient with achalasia of esophagus
Pressure recording and fluoroscopy during barium swallow in achalasia Onda de presión hidrostática
Epiphrenic diverticulum in patient with achalasia of esophagus
Ultrasound images of the lower esophageal sphincter (A)
Ultrasound images of the lower esophageal sphincter (B)
Pneumatic dilation of lower esophageal sphincter using Rigiflex Balloon
Otros Trastornos Motores del Esófago Espasmo difuso del esófago Esófago en cascanueces Esclerodermia
Barium swallow study in patient with diffuse esophageal spasm
Diffuse esophageal spasm
Manometric appearance of diffuse esophageal spasm
Manometry and fluoroscopy of barium swallow in diffuse esophageal spasm Contracción y compartamentalización del lumen
Nutcracker esophagus Ondas peristálticas
Radiographic view of scleroderma of esophagus, stomach, duodenum
Dilated esophagus and patulous lower esophageal sphincter
Manometric tracing from patient with severe involvement of scleroderma
Esophageal function in woman with scleroderma and esophageal motor impairment (A)
Esophageal function in woman with scleroderma and esophageal motor impairment (B)
Esophageal function in woman with scleroderma and esophageal motor impairment (C)
Anatomy of two lower esophageal sphincters
Contribution of LES/crural diaphragm to esophagogastric junction pressure
Spontaneous, transient LES relaxation diaphragmatic electromyography
Relationship between GER and GERD (A)
Relationship between GER and GERD (B)
Prevalence of heartburn in adult Americans M / F = 3 / 1
Incidence of heartburn in northeast Scotland
Pathophysiology and etiology of reflux esophagitis
Antireflux mechanisms in ambulatory patients with GERD (A) transient lower esophageal sphincter relaxation (TLESR) swallow-associated prolonged lower esophageal sphincter relaxation (SAPLESR) swallow-associated normal duration LES relaxations (SANLESR)
Antireflux mechanisms in ambulatory patients with GERD (B)
Esophageal luminal acid clearance mechanisms Tiempo de aclaramiento del ácido esofágico en sujeto sano : 3-5 minutos
Esophageal luminal acid clearance mechanisms
Esophageal luminal acid clearance
Bile salt concentrations in forms of reflux esophagitis
Components of tissue resistance against acid injury in esophagus
Tissue resistance: structural and functional defenses
Tissue resistance: altering esophageal epithelium defense
Conditions and activities associated with GERD
Protective role of Helicobacter pylori Erradicados Infec. persistente
Characteristics of heartburn
Esophageal pathology in gastroesophageal reflux disease
Histopathology of reflux damage to esophagus
Histopathology of GERD (A) controlcontrol control
Histopathology of GERD (B) Esofagitis erosiva
Histopathology of GERD (C) Esofagitis no erosiva
Histopathology, erosive esophagitis Edema Infiltración PMN, eosinófilos. Congestión vascular y extravasación.
Endoscopic view of erosive esophagitis
Endoscopic grading systems for reflux esophagitis
Esophageal complications of reflux esophagitis
Barrett's esophagus: 3 types of columnar epithelium 1-Epitelio de la unión (cardial) 2-Epitelio fúndico atrófico 3-Epitelio especializado (intestinal) Barrett
Barrett's esophagus increases with age
Rising incidence of adenocarcinoma of the esophagus
Frequency of cancer based on frequency, severity, duration of heartburn
Incidence of cancer based on frequency of heartburn or in Barrett's esophagus
Tests for diagnostic assessment of GERD, its mechanisms and consequences
Lifestyle modifications to lessen reflux esophagitis
Endoscopic views of gastroesophageal reflux disease (A)
Endoscopic views of gastroesophageal reflux disease (B)
Endoscopic views of gastroesophageal reflux disease (C)
Endoscopic views of gastroesophageal reflux disease (D)
Dental erosion from chronic acid reflux disease
View of hypopharynx during upper gastrointestinal endoscopy
Pimp Session…. The esophagus has no _______. Serosa.
Chapter 2 Management, Yesterday and Today. Historical background of management Are there any management in the history? Pyramid and the Great Wall The.
GLOBAL DIVISION OF LABOR. Political-Economy Material basis (how economy is organised) structures social, political, cultural form (e.g.. Feudalism – de-centralized.
Fisiopatologia del Reflusso e delle Plastiche Antireflusso XXIV Congr. Naz. ACOI, Montecatini 2005 Sez. Chirurgia Esofago- Gastrica U.Fumagalli I I I C.
ESOPHAGEAL FUNCTION TESTING IN 2011 Donald O. Castell M.D. Professor of Medicine Director, Esophageal Disorders Program Medical University of South Carolina.
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A b c d e f hg Figure 1 (a,b,c,d,e,f,g,h). Samples of images of the small bowel acquired by the capsule endoscope from the in vivo studies. a,b show gastric.
Copyright © 2010 Pearson Education, Inc. Publishing as Prentice Hall 2–1 Management History Chapter 2 Management Stephen P. Robbins Mary Coulter tenth.
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Upper GI. In addition to the esophagram, the second and very common radiographic procedure or examination of the upper GI system involving contrast media.
Il sottoscritto EDOARDO SAVARINO in qualit à di docente dell evento sopra indicato, ai sensi dell art. 3.3 sul Conflitto di Interessi, pag. 17 del Reg.
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A 50-year-old man with a history of symptomatic gastroesophageal reflux disease (GERD) has Barretts esophagus diagnosed on upper endoscopy. Which of the.
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