Acalasia
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Acalasia Anatoma
Mide 25-30 cm
Segmentos esofgicos: FarngeoCervicalTorcico abdominal
Anatoma
CervicalAa. Tiroidea inferiorTorcicoArterias esofgicasAbdominalAa. Gstrica izquierda
Anatoma
Tronco simptico cervicalInervacin parasimptica:Nn. VAGO:Nn. Larngeo recurrenteNn. Larngeo superior
Definicin
Patogenia Idioptica Patogenia
Fisiopatologa
Destruccin de los nervios del EEIFisiopatologa
Trastorno esofgico pre maligno20aos 8%Carcinoma epidermoideSntomas Complicaciones
Diagnostico Esofagografia Diagnostico Manometra
Pico de pjaro
Megaesofago
Tratamiento Aliviar la obstruccin Tratamiento Conservador Tratamiento Quirrgico Miotoma laparoscpica de Heller
Tratamiento Esofagectoma
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