Sinrom Mallory Weiss PDF
Sinrom Mallory Weiss PDF
2. Esophageal disfagia
Mechanical dysphagia : Normal esophageal dilated
Iritasi korosif :
Khusus corosif basa kuat lebih progresif dan kecendrungan
terjadi metaplasia epitel squamos menjadi carsinoma pada
20 tahun
Pembentukan jaringan colagen menimbulkan striktura.
Terapi steroid dan antibiotik kurang efektif.
Tindakan dilatasi dengan bougi secara berkala dapat
membantu mempertahankan fungsi esopagus.
ACHALASIA
Tidak ada peristaltik normal, hanya ada
kontraksi simultan dan relax LES incomplete or absent.
Proses inflamasi pada plexus Auerbach dan
Mientericus.
Saliva
&Esoph.motility
Diaphragma Mucosal
aposition LES tone
Cruz
Intra
Abd.press.
Angle
of His
Prompt Gastric
emptying
Reflux Mechanism
Negative intra
Thoracic pressure
Positive intra
Gastric pressure
Positive intra
Abdominal
pressure
Gambaran klinis :
- Nyeri ulu hati ( Heart burn ), bertambah kalau kontak
dengan makanan pada ulkus yang sensitif.
- Penurunan berat badan pada kasus lanjut
( malignancy )
- Extra esopageal : laringitis, suara serak, aspirasi
pneumonia , bronchitis kronis, PPOM, sinusitis dll.
Lundell et al 1999, Published with permission from Professor G Tytgat and Professor J Dent
The LA Classification system
– Grade B reflux esophagitis
Grade One (or more) mucosal break more than 5 mm
B: long, that does not extend between the tops of
two mucosal folds
Lundell et al 1999, Published with permission from Professor G Tytgat and Professor J Dent
The LA Classification system
– Grade C reflux esophagitis
Grade One (or more) mucosal break that is continuous
C: between the tops of two or more mucosal folds, but
which involves less than 75% of the circumference
Lundell et al 1999, Published with permission from Professor G Tytgat and Professor J Dent
The LA Classification system
– Grade D reflux esophagitis
Grade One (or more) mucosal break which involves at
D: least 75% of the esophageal circumference
Lundell et al 1999, Published with permission from Professor G Tytgat and Professor J Dent
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