Upload
ardyansyah-nasution-md
View
231
Download
0
Embed Size (px)
Citation preview
7/23/2019 disfagia esofagus
http://slidepdf.com/reader/full/disfagia-esofagus 1/27
!"#$%&'(&
*#+$%&'*&,
!"#$! & ' ()*+,)-).$!/012*13456(1/*+1!213+)71"174
!/. 0!3)(.,!/.
*$3.1 ,)/78/'828,1 +123$.)"
9)*8".4 19 ,!0$*$/!
8/$#!(2$.4 19 $/01/!2$)
:)')(.)
;;;;;;;;;;;;;
;;;;;;;;;<<
7/23/2019 disfagia esofagus
http://slidepdf.com/reader/full/disfagia-esofagus 2/27
*#+$%&'*&, !"#$%&'(&-%* .%&/&.-*/(#-(.#
•
#+,(! 0++! !"#$%&'(&
=>?@A BCDE ?@FG@A
• .+11+2 3(#!+1
HIJ >K=B ?D=@>E= >L BCD A@=BM? D=>NCMOG= N>@EB BCDEDPQ M= BCD =@BD >L >K=BRGPS>E
• /*'4/'(-&-(+2 5L L>>A MTDR DMSEO
•
"D== ?@QD?U .+4'%(2' MEA PC>Q@EO AGR@EO VDM?=
7/23/2019 disfagia esofagus
http://slidepdf.com/reader/full/disfagia-esofagus 3/27
-%* .&4#*#
(6#-/4.-4/&, !(#+/!*/
#-*2+#(#W 3*78 /(2'8 7*2('2 #-/(.-4/*8 1&,('2&2- #-/(.-4/*
,41(2&, !*0+/1(-(*#8 *9-/(2#(. !*.+1$/*##(+2
*#+$%&'*&, !(:*/-(.4,418 -/&.-(+28 $4,#(+2
((6*#+$%&'*&, 1+-(,(-" !(#+/!*/!(#+/!*/ +0 $*/(#-&,-(#W !(004#* *#+$%&'*&, #$ 24- ./&.;*/ *#+$%&'4#
2+2 #$*.(0(. 1+-(,(-" !(#+/!*/
(((6,*# &72+/1&,(-"
&.%&,&#(&(#+,&-*! &72+/1&,(-(*# +0 ,*#
(:6 '*/! !&2 ,$/
:6!(#+/!*/# +0 $%&/"2'+*#+$%&'*&, #*'1*2-
!(:*/-(.4,41 <*2;*/
7/23/2019 disfagia esofagus
http://slidepdf.com/reader/full/disfagia-esofagus 4/27
%+3
• 7&/(41 1*&,=*#+$%&'+'/&1
• 1&2+1*-/"8 $% 1+2(-+/(2'
•
*2!+#.+$"
#-/4.-4/&, !(#+/!*/
*#+$%&'*&, 1+-(,(-" !(#+/!*/
,*# &72+/1&,(-" !(#+/!*/
'*/! >,$/
!(#+/!*/# +0 $%&/"2'+*#+$%&'*&, #*'1*2-
7/23/2019 disfagia esofagus
http://slidepdf.com/reader/full/disfagia-esofagus 5/27
(6 #-/4.-4/&, !(#+/!*/=#-*2+#(#
*#+$%&'*&, 3*7=/(2'
3*78 ,+.&-*! *,#*3%*/* (2 *#+0&'4#
/(2'8 &- '&#-/+ *#+$%&'*&, ?42.-(+2
(2-*/1(--*2 !"#$%&'(& 0+/ #+,(! +2,"
#.%&-<;(@# /(2'8 #A4&1+.+,412&/ ?42.-(+2
7/23/2019 disfagia esofagus
http://slidepdf.com/reader/full/disfagia-esofagus 6/27
#-/4.-4/&, !(#+/!*/
#-/(.-4/*#
• /*0,49 *#+$%&'(-(#
• $(,, (2!4.*! *#+$%&'(-(#
•
*+#(2+$%(,(. *#+$%&'(-(#•
7&//*- *#+$%&'4#
•
/&!(+-%*/&$"
•
.+//+#(:* (2'*#-(+2
•
2*+$,
7/23/2019 disfagia esofagus
http://slidepdf.com/reader/full/disfagia-esofagus 7/27
#-/4.-4/&, !(#+/!*/=#-*2+#(#
7*2('2 #-/(.-4/*=.+//+#(:*
&!4,%++!8 &.A4(/*!
!"#$%&'(& $/+'/*#(:* 0+/ #+,(!
7/23/2019 disfagia esofagus
http://slidepdf.com/reader/full/disfagia-esofagus 8/27
#-/4.-4/&, !(#+/!*/=#-*2+#(#
7*2('2 #-/(.-4/*=7&//*-
/*!!(#% .+,412&/ 14.+#& (2 -%* !(#-&, +0 *#+$%&'4#6 */+#( !4* -+ /*0,49
#A4&1+ .+,412&/ 1*-&$,&#(&8 !"#$,&#(&8 &!*2+.&/.(2+1&
7/23/2019 disfagia esofagus
http://slidepdf.com/reader/full/disfagia-esofagus 9/27
#-/4.-4/&, !(#+/!*/=#-*2+#(#
7*2('2 #-/(.-4/*=&0-*/ /&!(+-%*/&$"
&!4,%++!8 &.A4(/*!
!"#$%&'(& $/+'/*#(:* 0+/ #+,(!
7/23/2019 disfagia esofagus
http://slidepdf.com/reader/full/disfagia-esofagus 10/27
#-/4.-4/&, !(#+/!*/=#-*2+#(#
7*2('2 14,-($,* #-/(.-4/*=.+//+#(:*
7/23/2019 disfagia esofagus
http://slidepdf.com/reader/full/disfagia-esofagus 11/27
(6#-/4.-4/&, !(#+/!*/
*#+$%&'*&, !(:*/-(.4,41
-/&.-(+2 !(:*/-(.4,41=1(!*#+$%&'*&,
7/23/2019 disfagia esofagus
http://slidepdf.com/reader/full/disfagia-esofagus 12/27
<*2;*/8 1(!*#+$%&'*&,8 *$(2*$%/(.
!(:*//-(.4,(
7/23/2019 disfagia esofagus
http://slidepdf.com/reader/full/disfagia-esofagus 13/27
*+#(2+$%(,(. *#+$%&'(-(#
!EA>=P>N@P MNNDMRMEPD >L LGRR>X@EO W DYGAMBDW
R@EODA @E NR>Y@VM? D=>NCMOG=<
(@EOW =BR@PBGRDW =VM?? PM?@KDR >L BCD D=>NCMOG= ZZJPutnam PE , Gastroenterology Clinic of North America, 2008
7/23/2019 disfagia esofagus
http://slidepdf.com/reader/full/disfagia-esofagus 14/27
*+#(2+$%(,(. *#+$%&'(-(#
7/23/2019 disfagia esofagus
http://slidepdf.com/reader/full/disfagia-esofagus 15/27
((6 *#+$%&'*&, 1+-(,(-" !(#+/!*/
• 0U=NCMO@M =>?@A= MEA ?@FG@A
• $EBDRV@[DE
• *CD=B NM@EW @E@SMBDA MEA DYMPDRKMBD KU =XM??>X@EO
• (DOGRO@BMS>E
• .+/;#./*3 MNNDMRMEPD
$*/(#-&,-(#=!(004#* *#+$%&'*&, #$
7/23/2019 disfagia esofagus
http://slidepdf.com/reader/full/disfagia-esofagus 16/27
((6 *#+$%&'*&, 1+-(,(-" !(#+/!*/
$*/(#-&,-(#=!(004#* *#+$%&'*&, #$
7/23/2019 disfagia esofagus
http://slidepdf.com/reader/full/disfagia-esofagus 17/27
Prabhakar A et al. AJR 2004;183:409-413©2004 by American Roentgen Ray Society
BC=DEFG=5HI JFK LMNO IMPQRE ER5SOFTEFH RSFRJ LO5 SGEREKNEI
LMNO IDRSOFTMF6
,G?SN?D E>ENDR@=BM?SP
P>EBRMPS>E=
V>ADRMBD =D\DR@BUX@BC>GB P?M==@P
P>RQ=PRDX
MNNDMRMEPD<">XDR D=>NCMODM?
=NC@EPBDR >NDEDA
E>RVM??U<
7/23/2019 disfagia esofagus
http://slidepdf.com/reader/full/disfagia-esofagus 18/27
*#+$%&'*&, 1+-(,(-" !(#+/!*/
$*/(#-&,-(#=24- ./&.;*/ *#+$%&'4#
-%* 1+#- .+11+2 $*/(#-&,-(. !(#+/!*/
%('% &1$,(-4!* +0 1&2+1*-/(. 0(2!(2'#8 2+/1&, $*/(#-&,-(. 3&:*#
7/23/2019 disfagia esofagus
http://slidepdf.com/reader/full/disfagia-esofagus 19/27
& .+17(2* .&#*
*SMSOGEKMU IMVEGWUQHQJ LMNO IMPQRE ER5SOFTEFH RSFRJ LMNO K5GJFH JFK5JENGM
7/23/2019 disfagia esofagus
http://slidepdf.com/reader/full/disfagia-esofagus 20/27
<*2;*/ !(:*/-(.4,41
$%&/"2'+*#+$%&'*&, !(#+/!*/
7/23/2019 disfagia esofagus
http://slidepdf.com/reader/full/disfagia-esofagus 21/27
<*2;*/ !(:*/-(.4,41
7/23/2019 disfagia esofagus
http://slidepdf.com/reader/full/disfagia-esofagus 22/27
<*2;*/ !(:*/-(.4,41 7*0+/* &2! &0-*/ #-&$$,(2'
7/23/2019 disfagia esofagus
http://slidepdf.com/reader/full/disfagia-esofagus 23/27
(((6 ,+3*/ *#+$%&'*&, #$%(2.-*/
&72+/1&,(-(*#=&.%&,&#(&
!" $%&'()* %+'(+, ],MU ^II_` a A>@bcI<cIHZdO@V>^e
7/23/2019 disfagia esofagus
http://slidepdf.com/reader/full/disfagia-esofagus 24/27
#"#-*1(. !(#+/!*/
7/23/2019 disfagia esofagus
http://slidepdf.com/reader/full/disfagia-esofagus 25/27
#4#$*.-*! *#+$%&'*&, !"#$%&'(&
#+,(! 0++!
+2,"
#+,(!# &2! ,(A4(!
(2-*/1(--*2- $/+'/*##(:* $/+'/*##(:*(2-*/1(--*2-
/(2' +/
3*7
%*&/-
74/2
2+ %*&/-
74/2
$*$-(.#-/(.-4/*
.&/.(2+1&
%*&/-
74/22+ %*&/-
74/2
.%*#-
$&(2
!(004#*#$
$/+''#"#-*1(.
#.,*/+#(#
2+.-4/2&, #9
74/2
&.%&,&#(&'/+%*/ 1*6!"#$%&'(& .,(2(.&, 1&2&'*1*2- (2 &!4,#
&2! .%(,!/*2 XYZY
7/23/2019 disfagia esofagus
http://slidepdf.com/reader/full/disfagia-esofagus 26/27
.+2.,4#(+2
• #+,(! 0++! +2," +/ ,&-*/ ,(A4(!8 &#$(/&-(+2
• .+4'% (# ,*## ,(;*,"
•
(2-*/1(--*28 $/+'/*##(:*
• *#+$%&'+'/&18 *2!+#.+$"
• !*.(##(+2 -/**
•
.+11+2 3(#!+1=*9$,+/* 1+/*=+4/ !+1&(2
7/23/2019 disfagia esofagus
http://slidepdf.com/reader/full/disfagia-esofagus 27/27!"#$%'()