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8/18/2019 Esofagografi referat
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REFERAT
ESOFAGOGRAFI
PEMBIMBING :
DR. SRI HARTATI, SP.RAD
DISUSUN OLEH :
GIOVANNI DANANG (406148076)
RYAN (406148070)
SETIADI WINATA (406148069)
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Anatomi dan FungsiEsofagus
Esof!"s #$% s"&" s$"' o&o&*'&+$ -! *!%"/"! %+of'+!#*! $/"!. "' 2!- 353 # $*/'- s*+&' 3 (#*# -! $+! $*/') # o'!#*s.
Esof!"s #+"$+ #'+ /&s /%'&+$!o '+o+#* +'5+' s*&+!!+*'&*/' s*'+$ VI. D'+ /&s &*'s*/"&,*sof!"s &*'/!+ *2#+ &+! /!+-+&", 's s*'+$, 's &%o'$ #'s /#o+$.
Esof!"s *"#+ /*'%+' #+o'+s+" '#+ !s&*' s*&+!!+ *'&*/'&%o'$ :I.
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D+#+! *sof!"s &*'#+'+ #'+ $+s-+&";
"os -! *'" *+&*$ s"os,
s"/"os -! &*'/"& #'+ 2'+! /'os*$s&+s # *'" $+s -! &*'"& #'+#+#+! *sof!"s,
o&o&5o&o& *sof!"s -! &*'#+'+ #'+ o&o& s+'"$*'/!+ #$ # $o!+&"#+$ /!+ $"'
#+ 3
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Esof!"s *"-+ /!+ f"!s+o$.
=!+ f"!s+o$ $+! &s #$% upperesophageal sphincter ,s"&" ++ o&o& -!*/*&" /!+ &s *sof!"s #
*+s% *sof!"s #*! &*!!o'o. =!+ f"!s+o$ "& #'+ *sof!"s
#+s*/"& s*/!+ /# #'+ *sof!"s, s"&"s$"' o&o& -! 2!- +'5+' 30.
=!+ f"!s+o$ -! *&+! #'+ *sof!"s-+&" lower esophageal sphincter s"&"++ o&o& -! &*'$*& #+ *'&*"&' *sof!"s # $/"!.
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Denisi Esofagoga
>*'" **'+s *sof!"s#! *!!" /% o&'s."- #+$" #*! /%
o&'s &"!!$ (?) &*&+ #&#+$" 2"! #*! o&'s!#.
Esof!o!' +$% **'+s
s+'5: -! #+!" "&"**&" &o+ #'+ &'&"s#+!*s&+f /!+ &s. P**'+s ++*$+"&+ *!+s+ #'+ *sof!"s#*! +' "&+% (/'+").
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!u"uan Esofagoga
Esof!o!' #+!" "&" *+$+ *$+-! &*'#& # *sof!"s.
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Indi#asi Esofagoga
Indikasi:
D+$" "&" **'+s s+* -!s*' $++s #+#"! *!$+ *$+*sof!"s /+ '* +f*s+, o!*+&$,
&'", *o$s+, "" *&/o$+.&' $+; A&'*s+ Esof!"s F+s&"$ T'%*o5Esof!*+ $"s Esof!"s D+*'&+"$ Esof!"s
Ss* Esof!"s S'+&"' Esof!"s A%$s+ Esof!"s V'+s*s Esof!"s >ss (&"o') Esof!"s
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Atesia Esofagus
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Atesia Esofagus
=+s- #+*&%"+ # &" */*'++" *'& $+ # s& /-+ $%+'.S*&*$% +" /-+ &*'s*/"& "&%.
P# *sof!o!' & *so!f"s -!/"&".
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Fistu$a !a#%eo&Esofagei
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Fistu$a !a#%eo&
Esofagei F+s&"$ T'*o5Esof!*+ +$% &*'#&-
%"/"! &' *sof!"s # &'%*.=+s-, s& *'& $+ #+/*'+ +" ASI
&*'2#+ '*@*s /&" # "&%. P#**'+s ++ &+# /o$*% *!!"o&'s =SO4 '* &+# $'"& #$ +',-! #& s" * &'* *"2" '"5'"# *'!s! &*'2#+- *"o+. =%o&'s -! #++ %'"s $'"& #$ +',
s**'&+; #+oos+$, !s&'o!'.
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U$#us Esofagus
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U$#us Esofagus
$"s Esof!"s #& #+2"+ #$ /*&";additional defect , star formation, # ss&+(*!*'"&). =+$ &*'#& "$"s # *sof!"s
+s$- # os+s+ 2 13 # /+$ #+fo&o#*! os+s+ 2 &" 9 &*'$+%&*o2o$ * $"' #+#+! (##+&o$ #*f*&),s*#! /+$ #+fo&o # os+s 2 6 & $"/!#*! !'+s5!'+s #+ s*+&'- # */*&"!/' /+&! (s&' fo'&+o), #+ !'+s5
!'+s &*'s*/"& s*/*'- #$% s+&'+s.
S*$+ +&" #& "$ &*'$+%& #+ s*+&' #+#+!"$"s &*'#& #+#+! *sof!"s -! &+# "/*'o&'s+ (ss&+).
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Di'eti#u$a Esofagus
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Di'eti#u$a Esofagus
P# fo&o #*! o&'s =SO4 &*'$+%&
!/' additional defect /*'" &o!5&o! # #+#+! *sof!"s. D+*'&+"$
#+s*// o$*% traction &" &'+ *$"',-+&" /+$ # '#!
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S(asme Esofagus
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S(asme Esofagus
P*-*+& *sof!"s /!+ #+s&$, /+s-&*'#& # #*s "#. T*'2#+-ss* ++ #+s*// o$*% f&o' s++s. B#+,
&+# # *$+ &o+s. C*& ss*/+s- # 1
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Sti#tu Esofagus
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Sti#tu Esofagus
T*'2#+ *$+ &o+s #*! !/'# fo&o /*'" mouse tail apearance (*o'&+"s). &" */*# s&'+&"' #*!
ss* #& #+/*'+ muscle relaxan (/"so +.). 2+ *$*/' /*''&+ ss*s*#! /+$ &*& *+$ &" s*+& /*''&+s&'+&"'.
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A)%a$asia Esofagus
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A)%a$asia Esofagus
S&'+&"' #*! *$+ &o+s o!*+&$.*$+ &*'2#+ # $*s"s *"'/%+*s*&*'+"s, /+$ $*&- $*/+% /% #+s*/"&
%$s+ !s&'+. T*'#& !/' mouse tailappearance '* &+# &*'2#+ *'+s&$&+ ##+$&s+ '*!+o #+&s /!+ -! !!$+o+.*$+ ++ +'+ #*! *!o$oo!*+&$.
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*aises Esofagus
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*aises Esofagus
P'*#+$*s+ $*& &*'s*'+! +$% # 1
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!umo Esofagus
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!umo Esofagus
Gambaran Radiologis:
outline "os *2#+ +''*!"$' # &*'2#+ #*f*"$&+*$ # $"*.
/+$ &"o'- # s&" s+s+ #+s*/"& f"!+o+#, #" s+s+#+s*/"& "$+', /+$ *'&"/"%- *-*'"+
o$+ #+s*/"& o$+o+#. /!+ *sof!"s s*/*$% 'os+$ #'+ &"o'
*$*/' s*#! /!+ -! # &"o'-*-*+&. D*'% $*s+ /+$ #+/*'+ /"so &+#*$*/'.
/!+ *sof!"s -! &*'s*'+! +$% # s&oos*
&*'+o' *sof!"s # !s&*' (*sof!o!s&'+ 2"&+o).
&*'2#+ # 1
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o&'+#+s+
Gs&'*sof!o!' >*!*sof!"s
R*!"'!+&s+
Ps+* #*! s"s* *'fo's+
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!e#ni# Pemei#saan
Esofagoga >*#+ o&'s ; o&'s os+&+f (='+" s"$f&)
>*'" o&'s *#+ os+&+f "&" o'!#*s. D+**' #*! +' s*s"+*/"&"%. P# *sof!"s, $"* #*! $+'"& # *&, os*&'s+ o&'s %'"s &+!!+(1;1 &" 1;3) &" *& !' $+' *& #*'$""' #+#+! *sof!"s *2#+ &*&s*%+!! #- #*f* #& &*'#*&*s+.
P# /-+ "'! #'+ s*&%", *$"% "&%# 'o-*&+$, #+!" +' -! "#%#+s*' (&*' so$"/$*), #+s" $*&#o&
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Esogafogam Noma$
! # i# P i#
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!e#ni# Pemei#saanEsofagoga P'**#+s+; &+# #+/*'+ P*'s+ Ps+*;
T+# #+*'$" *'s+ s*' %"s"s.
Ps+* +" =SO4, 1 s*#o #+&"!!" 3 *+&*"#+ #+fo&o AP # C&*'$.
Pos+s+ Ps+*; Erect #+ &' *2 **'+s -! #+&"' *'&+$ #*!
$-' @"o'oso+.
D+/*'+ /'+" s"$f&, +s&'"s+ "&" +" /*/*'&*!", 'os*s ++ #++"&+ #*! os+s+ recumbent . Pos+s+ ++*"!+ *!+s+ *sof!"s $*/+% s*"' &*'"&/!+ 'os+$ # #+*'$" # $++s *sof!"s.
>*&o#*; P*!/+$ !/' '#+o!' #+$" s*' *"%
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+om($i#asi
Esofagoga o$+s+ *sof!o!' #+ &'-;
R*s+ $*'!+ #& &*'2#+ # o'! -! $*'!+&*'%# /'+" -! #++".
os&+s+
As+'s+ /'+" # &'*.
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+ESIMPULAN
&" *!*&%"+ #- *$+ *sof!"s s*'&o+, s*/!+ *"2! s"&" #+!os*-+&, #& #+!" **'+s*sof!o!'. Esof!o!' (/'+" s$$o)*'" s"&" &*+ '#+o!'s "&"**'+s *sof!"s #*! *!!" *#+o&'s os+&+f (/+s- /*'" /'+" s"$f&).
T*+ ++ #+*'!" "&" **'+s s+*-! s*' $++s #+#"! *+$++ *$+ *sof!"s/+ '* +f*s+, o!*+&$, &'", *o$s+,"" *&/o$+, *" %+&$ %*'+,
%$s+, &'*s+ *sof!"s, ss* *sof!"s,s&'+&"' *sof!"s, #+*'&+"$ *sof!"s, '+s*s*sof!"s # *sof!+&+s. S*#! # s+*#*! s"s* *'fo's+ # '*!"'!+&s+ *'"%$ -! #+o&'+#+s+.
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+ESIMPULAN
P**'+s *sof!o!' *'"**'+s -! '*$&+f , *s+"#*++ s*&+ **'+s #&
*-*// o$+s+ &*'&*&" s**'&+ $*'!+&*'%# o&'s. A#" #+*'$" *'s+,os+s+ "" *&o#* *!/+$ !/'-! &*& "&" **'o$*% %s+$ -! /+!" */&" **! s*/"% #+!os*-+&.
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