7/17/2019 Lesi Korosif Esofagus

LESI KOROSIF ESOFAGUS

Annisa Aprianti
131.0211.181

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Defnisi
Lesi korosi esoa!s a"a#a$
kerusakan esofagus %an ter"iri
"ari ker!sakan epite# &!kosa sa'a
sa&pai ker!sakan se#!r!$ "in"in
esoa!s karena bahan kimia
yang termakan atau terminum.

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Epi"e&io#oi
• (asi$ 'aran "i In"onesia
• 80) pa"a anak2 "ikarenakan ti"ak
sena'a terte#an
• *a"a "e+asa "ikarenakan per,o-aan
-!n!$ "iri
• i"ak a"a per-e"aan 'enis ke#a&in

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Etio#oi
• erte#an -a$an ki&ia %an -ersiat
asa& ata! -asa a#ka#i

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(aniestasi K#inis
• Esofagitis korosif tanpa ulserasi
– *asien &ena#a&i an!an &ene#an %an rinan. *a"a esoaoskopi
ta&pak &!kosa $ipere&is tanpa "isertai !#serasi.
• Esofagitis korosif dengan ulserasi ringan
– *asien &ene#!$ "isaia rinan pa"a esoaoskopi ta&pak !#k!s %an ti"ak
"a#a& %an &enenai &!kosa esoa!s sa'a.
• Esofagitis korosif ulserasif sedang
– U#k!s s!"a$ &enenai #apisan otot. iasan%a "ite&!kan sat! !#k!s ata! #e-i$
&!#tip#e.
• Esofagitis kororsif ulseratif berat tanpa komplikasi
– er"apat pene#!pasan &!kosa serta nekrosis %an #etakn%a "a#a& "an te#a$
&enenai se#!r!$ #apisan esoa!s. Kea"aan ini 'ika "i-iarkan akan
&eni&-!#kan strikt!r esoa!s.
• Esofagitis korosif ulseratif berat dengan komplikasi
– er"apat perorasi esoa!s %an "apat &eni&-!#kan &e"iastinitis "an
peritonitis. Ka"an4ka"an "ite&!kan tan"a4tan"a o-str!ksi 'a#an naas atas
"an an!an kesei&-anan asa& "an -asa.

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(aniestasi K#inis
• Ak!t 143 $ari
– L!ka "i "aera$ &!#!t arin -i-ir
– Disaia o"inoaia
– De&a&
–
(!a# &!nta$
– Erosi
– Keaa#an sirk!#asi
• Laten 245 &
–

De&a& &en!r!n
– (erasa s!"a$ se&-!$
• Kronis 143 ta$!n
– Disaia #ai karna 'arinan par!t

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Dianosis
• Ana&nesa
• *F
• *6. *en!n'an
– La-
– Ra"io#oi
– Esoaora&
– Esoaoskopi

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a#ak
• erapi seera &ene#an 7at 

penetra#isir "a#a& 1 'a& perta&a.

– Lar!tan a#ka#i "apat "inetra#kan "enan
,!ka '!s #e&on ata! 'er!k.
– at asa& "apat "inetra#kan "enan
s!s! p!ti$ te#!r ata! antasi"a.

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• Gan!an e#ektro#it in!s 

a&ino!sin 500 &L 2 -oto# #!kosa

10) 2 -oto# 9a:# 0.;) < K:# =
(e>?#iter 1 -oto#
• 9!trisi &e#a#!i 'e'!nosto&i
• Anti-iotik 243 & ata! = $ari -e-as
"e&a&
• Kortikosteroi" 2004300 & tapp o@
• Ana#esik &orfn 

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*ronosis
• *enananan ,epat tepat "an '!&#a$
serta konsentrasi -a$an %an "ite#an
sanat &e&penar!$i pronosis
pasien

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