FORO DIGESTIVO DR. ELIAS GÓRRIZLAS PALMAS 3-MARZO-2005.
-
Upload
rodolfo-cea -
Category
Documents
-
view
9 -
download
1
Transcript of FORO DIGESTIVO DR. ELIAS GÓRRIZLAS PALMAS 3-MARZO-2005.
![Page 1: FORO DIGESTIVO DR. ELIAS GÓRRIZLAS PALMAS 3-MARZO-2005.](https://reader033.fdocuments.es/reader033/viewer/2022051400/54e52cd34a795950188b5f3b/html5/thumbnails/1.jpg)
FORO DIGESTIVO
DR. ELIAS GÓRRIZ LAS PALMAS 3-MARZO-2005
![Page 2: FORO DIGESTIVO DR. ELIAS GÓRRIZLAS PALMAS 3-MARZO-2005.](https://reader033.fdocuments.es/reader033/viewer/2022051400/54e52cd34a795950188b5f3b/html5/thumbnails/2.jpg)
Hipertensión portal
Rotura de varices gastro-esofágicas
Hemorragia digestiva
![Page 3: FORO DIGESTIVO DR. ELIAS GÓRRIZLAS PALMAS 3-MARZO-2005.](https://reader033.fdocuments.es/reader033/viewer/2022051400/54e52cd34a795950188b5f3b/html5/thumbnails/3.jpg)
![Page 4: FORO DIGESTIVO DR. ELIAS GÓRRIZLAS PALMAS 3-MARZO-2005.](https://reader033.fdocuments.es/reader033/viewer/2022051400/54e52cd34a795950188b5f3b/html5/thumbnails/4.jpg)
![Page 5: FORO DIGESTIVO DR. ELIAS GÓRRIZLAS PALMAS 3-MARZO-2005.](https://reader033.fdocuments.es/reader033/viewer/2022051400/54e52cd34a795950188b5f3b/html5/thumbnails/5.jpg)
![Page 6: FORO DIGESTIVO DR. ELIAS GÓRRIZLAS PALMAS 3-MARZO-2005.](https://reader033.fdocuments.es/reader033/viewer/2022051400/54e52cd34a795950188b5f3b/html5/thumbnails/6.jpg)
![Page 7: FORO DIGESTIVO DR. ELIAS GÓRRIZLAS PALMAS 3-MARZO-2005.](https://reader033.fdocuments.es/reader033/viewer/2022051400/54e52cd34a795950188b5f3b/html5/thumbnails/7.jpg)
![Page 8: FORO DIGESTIVO DR. ELIAS GÓRRIZLAS PALMAS 3-MARZO-2005.](https://reader033.fdocuments.es/reader033/viewer/2022051400/54e52cd34a795950188b5f3b/html5/thumbnails/8.jpg)
![Page 9: FORO DIGESTIVO DR. ELIAS GÓRRIZLAS PALMAS 3-MARZO-2005.](https://reader033.fdocuments.es/reader033/viewer/2022051400/54e52cd34a795950188b5f3b/html5/thumbnails/9.jpg)
MÉTODOS DESCOMPRESIVOS
- FARMACOLÓGICOS
- QUIRÚRGICOS
- TIPS
MÉTODOS ESCLEROSANTES
- ESCLEROTERAPIA ENDOSCÓPICA
- LIGADURA ENDOSCÓPICA
- EMBOLIZACIÓN TRANS-TIPS
MÉTODOS CURATIVOS
- TRANSPLANTE
![Page 10: FORO DIGESTIVO DR. ELIAS GÓRRIZLAS PALMAS 3-MARZO-2005.](https://reader033.fdocuments.es/reader033/viewer/2022051400/54e52cd34a795950188b5f3b/html5/thumbnails/10.jpg)
Crafoord y Frenckner 1939
![Page 11: FORO DIGESTIVO DR. ELIAS GÓRRIZLAS PALMAS 3-MARZO-2005.](https://reader033.fdocuments.es/reader033/viewer/2022051400/54e52cd34a795950188b5f3b/html5/thumbnails/11.jpg)
ransjugularransjugular
ntrahepaticntrahepatic
ortosystemicortosystemic
hunthunt
![Page 12: FORO DIGESTIVO DR. ELIAS GÓRRIZLAS PALMAS 3-MARZO-2005.](https://reader033.fdocuments.es/reader033/viewer/2022051400/54e52cd34a795950188b5f3b/html5/thumbnails/12.jpg)
1969 RÖSCH
1982 COLAPINTO
1985 PALMAZ
1987 RÖSCH
1989 RICHTER
![Page 13: FORO DIGESTIVO DR. ELIAS GÓRRIZLAS PALMAS 3-MARZO-2005.](https://reader033.fdocuments.es/reader033/viewer/2022051400/54e52cd34a795950188b5f3b/html5/thumbnails/13.jpg)
PUNCIÓN PORTAL
![Page 14: FORO DIGESTIVO DR. ELIAS GÓRRIZLAS PALMAS 3-MARZO-2005.](https://reader033.fdocuments.es/reader033/viewer/2022051400/54e52cd34a795950188b5f3b/html5/thumbnails/14.jpg)
DILATACIÓN
![Page 15: FORO DIGESTIVO DR. ELIAS GÓRRIZLAS PALMAS 3-MARZO-2005.](https://reader033.fdocuments.es/reader033/viewer/2022051400/54e52cd34a795950188b5f3b/html5/thumbnails/15.jpg)
ENDOPRÓTESIS
![Page 16: FORO DIGESTIVO DR. ELIAS GÓRRIZLAS PALMAS 3-MARZO-2005.](https://reader033.fdocuments.es/reader033/viewer/2022051400/54e52cd34a795950188b5f3b/html5/thumbnails/16.jpg)
Encefalopatía
00
1010
2020
3030
4040
5050
6060
7070
8080
9090
100100
00 11 22 33 44 55 66 77 88 99 1010 11111212131314141515161617171818 1919202021212222232324242525 2626272728282929
%%
3030 31313232 333334343535363637373838393940404141424243434444454546464747 4848
mesesmeses
![Page 17: FORO DIGESTIVO DR. ELIAS GÓRRIZLAS PALMAS 3-MARZO-2005.](https://reader033.fdocuments.es/reader033/viewer/2022051400/54e52cd34a795950188b5f3b/html5/thumbnails/17.jpg)
ResultadosResultados
EncefalopatíaEncefalopatía
meses
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
1 3 5 7 9 11 13 15 17 19 21 23 25 27 28
pacientes
![Page 18: FORO DIGESTIVO DR. ELIAS GÓRRIZLAS PALMAS 3-MARZO-2005.](https://reader033.fdocuments.es/reader033/viewer/2022051400/54e52cd34a795950188b5f3b/html5/thumbnails/18.jpg)
KaplanKaplan -- MeierMeier
mesesmeses
464600
1010
2020
3030
4040
5050
6060
7070
8080
9090
100100
00 22 44 66 88 1010 1212 1414 1616 1818 2020 2222 2424 2626 2828 3030 3232 3434 3636 3838 4040
%%
4242 4444 4848
ResangradoResangrado
![Page 19: FORO DIGESTIVO DR. ELIAS GÓRRIZLAS PALMAS 3-MARZO-2005.](https://reader033.fdocuments.es/reader033/viewer/2022051400/54e52cd34a795950188b5f3b/html5/thumbnails/19.jpg)
ResultadosResultados
ResangradoResangrado24
pacientes
meses
1 3 5 7 9 11 13 15 17 19 21 23 25 27 29 31 33 35 37 39 41
0123456789
1011121314151617181920212223
![Page 20: FORO DIGESTIVO DR. ELIAS GÓRRIZLAS PALMAS 3-MARZO-2005.](https://reader033.fdocuments.es/reader033/viewer/2022051400/54e52cd34a795950188b5f3b/html5/thumbnails/20.jpg)
00
1010
2020
3030
4040
5050
6060
7070
8080
9090
100100
00 33 66 99 1212 1515 1818 2121 2424 2727 3030 3333 3636 3939 4242 4545 4848
Disfunción hemodinámicaDisfunción hemodinámica%%
mesemesess
![Page 21: FORO DIGESTIVO DR. ELIAS GÓRRIZLAS PALMAS 3-MARZO-2005.](https://reader033.fdocuments.es/reader033/viewer/2022051400/54e52cd34a795950188b5f3b/html5/thumbnails/21.jpg)
![Page 22: FORO DIGESTIVO DR. ELIAS GÓRRIZLAS PALMAS 3-MARZO-2005.](https://reader033.fdocuments.es/reader033/viewer/2022051400/54e52cd34a795950188b5f3b/html5/thumbnails/22.jpg)
GPC EvoluciónGPC Evolución
TIPS
17
12
mm Hg
20 %
21,6
12,1
15,8 15,7 13,6 15,215,4 16,4 16,6
11,5 1110910,310,311,1
0
5
10
15
20
25
30
GPC
PRE
GPC
POST
4º 8º 13º 18º 24º 29º 35º 39º
15,7
10,5
meses
GPC pre TIPSGPC post TIPSGPC ControlGPC post Tto.
Controles
![Page 23: FORO DIGESTIVO DR. ELIAS GÓRRIZLAS PALMAS 3-MARZO-2005.](https://reader033.fdocuments.es/reader033/viewer/2022051400/54e52cd34a795950188b5f3b/html5/thumbnails/23.jpg)
EMBOLIZACIÓN
- GELFOAM- ETANOL- ACRILATOS- ESPIRALES METÁLICAS
![Page 24: FORO DIGESTIVO DR. ELIAS GÓRRIZLAS PALMAS 3-MARZO-2005.](https://reader033.fdocuments.es/reader033/viewer/2022051400/54e52cd34a795950188b5f3b/html5/thumbnails/24.jpg)
![Page 25: FORO DIGESTIVO DR. ELIAS GÓRRIZLAS PALMAS 3-MARZO-2005.](https://reader033.fdocuments.es/reader033/viewer/2022051400/54e52cd34a795950188b5f3b/html5/thumbnails/25.jpg)
![Page 26: FORO DIGESTIVO DR. ELIAS GÓRRIZLAS PALMAS 3-MARZO-2005.](https://reader033.fdocuments.es/reader033/viewer/2022051400/54e52cd34a795950188b5f3b/html5/thumbnails/26.jpg)
![Page 27: FORO DIGESTIVO DR. ELIAS GÓRRIZLAS PALMAS 3-MARZO-2005.](https://reader033.fdocuments.es/reader033/viewer/2022051400/54e52cd34a795950188b5f3b/html5/thumbnails/27.jpg)
![Page 28: FORO DIGESTIVO DR. ELIAS GÓRRIZLAS PALMAS 3-MARZO-2005.](https://reader033.fdocuments.es/reader033/viewer/2022051400/54e52cd34a795950188b5f3b/html5/thumbnails/28.jpg)
![Page 29: FORO DIGESTIVO DR. ELIAS GÓRRIZLAS PALMAS 3-MARZO-2005.](https://reader033.fdocuments.es/reader033/viewer/2022051400/54e52cd34a795950188b5f3b/html5/thumbnails/29.jpg)
![Page 30: FORO DIGESTIVO DR. ELIAS GÓRRIZLAS PALMAS 3-MARZO-2005.](https://reader033.fdocuments.es/reader033/viewer/2022051400/54e52cd34a795950188b5f3b/html5/thumbnails/30.jpg)
VARICES GASTRICAS
PEOR PRONÓSTICO
GPC INFERIOR A 12 mm HG
SHUNT ESPLENO-RENAL
TAMAÑO DE VARICES / TENSIÓN DE PARED
INDICACIÓN DE TIPS ?
Gut 2002;51:270-274. The role of the transjugular intrahepatic portosystemic stent shunt (TIPSS) in the management of bleeding gastric varices: clinical and haemodynamic correlations
D Tripathi1, G Therapondos1, E Jackson2, D N Redhead3 and P C Hayes1
1 Centre for Liver and Digestive Disorders and Department of Medicine, Royal Infirmary of Edinburgh, UK
![Page 31: FORO DIGESTIVO DR. ELIAS GÓRRIZLAS PALMAS 3-MARZO-2005.](https://reader033.fdocuments.es/reader033/viewer/2022051400/54e52cd34a795950188b5f3b/html5/thumbnails/31.jpg)
![Page 32: FORO DIGESTIVO DR. ELIAS GÓRRIZLAS PALMAS 3-MARZO-2005.](https://reader033.fdocuments.es/reader033/viewer/2022051400/54e52cd34a795950188b5f3b/html5/thumbnails/32.jpg)
![Page 33: FORO DIGESTIVO DR. ELIAS GÓRRIZLAS PALMAS 3-MARZO-2005.](https://reader033.fdocuments.es/reader033/viewer/2022051400/54e52cd34a795950188b5f3b/html5/thumbnails/33.jpg)
![Page 34: FORO DIGESTIVO DR. ELIAS GÓRRIZLAS PALMAS 3-MARZO-2005.](https://reader033.fdocuments.es/reader033/viewer/2022051400/54e52cd34a795950188b5f3b/html5/thumbnails/34.jpg)
![Page 35: FORO DIGESTIVO DR. ELIAS GÓRRIZLAS PALMAS 3-MARZO-2005.](https://reader033.fdocuments.es/reader033/viewer/2022051400/54e52cd34a795950188b5f3b/html5/thumbnails/35.jpg)
![Page 36: FORO DIGESTIVO DR. ELIAS GÓRRIZLAS PALMAS 3-MARZO-2005.](https://reader033.fdocuments.es/reader033/viewer/2022051400/54e52cd34a795950188b5f3b/html5/thumbnails/36.jpg)
![Page 37: FORO DIGESTIVO DR. ELIAS GÓRRIZLAS PALMAS 3-MARZO-2005.](https://reader033.fdocuments.es/reader033/viewer/2022051400/54e52cd34a795950188b5f3b/html5/thumbnails/37.jpg)
![Page 38: FORO DIGESTIVO DR. ELIAS GÓRRIZLAS PALMAS 3-MARZO-2005.](https://reader033.fdocuments.es/reader033/viewer/2022051400/54e52cd34a795950188b5f3b/html5/thumbnails/38.jpg)
![Page 39: FORO DIGESTIVO DR. ELIAS GÓRRIZLAS PALMAS 3-MARZO-2005.](https://reader033.fdocuments.es/reader033/viewer/2022051400/54e52cd34a795950188b5f3b/html5/thumbnails/39.jpg)
![Page 40: FORO DIGESTIVO DR. ELIAS GÓRRIZLAS PALMAS 3-MARZO-2005.](https://reader033.fdocuments.es/reader033/viewer/2022051400/54e52cd34a795950188b5f3b/html5/thumbnails/40.jpg)
![Page 41: FORO DIGESTIVO DR. ELIAS GÓRRIZLAS PALMAS 3-MARZO-2005.](https://reader033.fdocuments.es/reader033/viewer/2022051400/54e52cd34a795950188b5f3b/html5/thumbnails/41.jpg)
UNIDAD DE RADIOLOGIA VASCULAR INTERVENCIONISTA
![Page 42: FORO DIGESTIVO DR. ELIAS GÓRRIZLAS PALMAS 3-MARZO-2005.](https://reader033.fdocuments.es/reader033/viewer/2022051400/54e52cd34a795950188b5f3b/html5/thumbnails/42.jpg)
UNIDAD DE RADIOLOGIA VASCULAR INTERVENCIONISTA
![Page 43: FORO DIGESTIVO DR. ELIAS GÓRRIZLAS PALMAS 3-MARZO-2005.](https://reader033.fdocuments.es/reader033/viewer/2022051400/54e52cd34a795950188b5f3b/html5/thumbnails/43.jpg)
UNIDAD DE RADIOLOGIA VASCULAR INTERVENCIONISTA
![Page 44: FORO DIGESTIVO DR. ELIAS GÓRRIZLAS PALMAS 3-MARZO-2005.](https://reader033.fdocuments.es/reader033/viewer/2022051400/54e52cd34a795950188b5f3b/html5/thumbnails/44.jpg)
UNIDAD DE RADIOLOGIA VASCULAR INTERVENCIONISTA
![Page 45: FORO DIGESTIVO DR. ELIAS GÓRRIZLAS PALMAS 3-MARZO-2005.](https://reader033.fdocuments.es/reader033/viewer/2022051400/54e52cd34a795950188b5f3b/html5/thumbnails/45.jpg)
![Page 46: FORO DIGESTIVO DR. ELIAS GÓRRIZLAS PALMAS 3-MARZO-2005.](https://reader033.fdocuments.es/reader033/viewer/2022051400/54e52cd34a795950188b5f3b/html5/thumbnails/46.jpg)
![Page 47: FORO DIGESTIVO DR. ELIAS GÓRRIZLAS PALMAS 3-MARZO-2005.](https://reader033.fdocuments.es/reader033/viewer/2022051400/54e52cd34a795950188b5f3b/html5/thumbnails/47.jpg)
![Page 48: FORO DIGESTIVO DR. ELIAS GÓRRIZLAS PALMAS 3-MARZO-2005.](https://reader033.fdocuments.es/reader033/viewer/2022051400/54e52cd34a795950188b5f3b/html5/thumbnails/48.jpg)
![Page 49: FORO DIGESTIVO DR. ELIAS GÓRRIZLAS PALMAS 3-MARZO-2005.](https://reader033.fdocuments.es/reader033/viewer/2022051400/54e52cd34a795950188b5f3b/html5/thumbnails/49.jpg)
![Page 50: FORO DIGESTIVO DR. ELIAS GÓRRIZLAS PALMAS 3-MARZO-2005.](https://reader033.fdocuments.es/reader033/viewer/2022051400/54e52cd34a795950188b5f3b/html5/thumbnails/50.jpg)
![Page 51: FORO DIGESTIVO DR. ELIAS GÓRRIZLAS PALMAS 3-MARZO-2005.](https://reader033.fdocuments.es/reader033/viewer/2022051400/54e52cd34a795950188b5f3b/html5/thumbnails/51.jpg)
![Page 52: FORO DIGESTIVO DR. ELIAS GÓRRIZLAS PALMAS 3-MARZO-2005.](https://reader033.fdocuments.es/reader033/viewer/2022051400/54e52cd34a795950188b5f3b/html5/thumbnails/52.jpg)
![Page 53: FORO DIGESTIVO DR. ELIAS GÓRRIZLAS PALMAS 3-MARZO-2005.](https://reader033.fdocuments.es/reader033/viewer/2022051400/54e52cd34a795950188b5f3b/html5/thumbnails/53.jpg)
![Page 54: FORO DIGESTIVO DR. ELIAS GÓRRIZLAS PALMAS 3-MARZO-2005.](https://reader033.fdocuments.es/reader033/viewer/2022051400/54e52cd34a795950188b5f3b/html5/thumbnails/54.jpg)
![Page 55: FORO DIGESTIVO DR. ELIAS GÓRRIZLAS PALMAS 3-MARZO-2005.](https://reader033.fdocuments.es/reader033/viewer/2022051400/54e52cd34a795950188b5f3b/html5/thumbnails/55.jpg)
![Page 56: FORO DIGESTIVO DR. ELIAS GÓRRIZLAS PALMAS 3-MARZO-2005.](https://reader033.fdocuments.es/reader033/viewer/2022051400/54e52cd34a795950188b5f3b/html5/thumbnails/56.jpg)
![Page 57: FORO DIGESTIVO DR. ELIAS GÓRRIZLAS PALMAS 3-MARZO-2005.](https://reader033.fdocuments.es/reader033/viewer/2022051400/54e52cd34a795950188b5f3b/html5/thumbnails/57.jpg)
![Page 58: FORO DIGESTIVO DR. ELIAS GÓRRIZLAS PALMAS 3-MARZO-2005.](https://reader033.fdocuments.es/reader033/viewer/2022051400/54e52cd34a795950188b5f3b/html5/thumbnails/58.jpg)
![Page 59: FORO DIGESTIVO DR. ELIAS GÓRRIZLAS PALMAS 3-MARZO-2005.](https://reader033.fdocuments.es/reader033/viewer/2022051400/54e52cd34a795950188b5f3b/html5/thumbnails/59.jpg)
![Page 60: FORO DIGESTIVO DR. ELIAS GÓRRIZLAS PALMAS 3-MARZO-2005.](https://reader033.fdocuments.es/reader033/viewer/2022051400/54e52cd34a795950188b5f3b/html5/thumbnails/60.jpg)
![Page 61: FORO DIGESTIVO DR. ELIAS GÓRRIZLAS PALMAS 3-MARZO-2005.](https://reader033.fdocuments.es/reader033/viewer/2022051400/54e52cd34a795950188b5f3b/html5/thumbnails/61.jpg)