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Espasmo Esofgico Difuso

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Espasmo Esofgico Difuso




 Definicin


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GRORURVRV
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UHSHQWLQDPHQWHH[SHULPHQWDXQGRORUVHYHURHQPHGLRGHOSHFKRTXHSDVDGHVSXVGH
DOJXQRVHJXQGRV(VWDHVXQDIRUPDGHHVSDVPRHVRIJLFR3HURHQDOJXQDVSHUVRQDVHO
HVSDVPRHVRIJLFRRFXUUHFRQPD\RUIUHFXHQFLD\SXHGHOOHYDUDSUREOHPDVSDUDODGHJOXFLQ
\GRORUWRUFLFR

 Otros


Nombres

(VSDVPRHVRIJLFRGLIXVRHVSDVPRGHOHVIDJR

 Causa


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Las comidas muy calientes o muy frasSXHGHQGHVHQFDGHQDUHSLVRGLRVHQDOJXQDV
SHUVRQDVDXQTXHODIRUPDHQTXHODWHPSHUDWXUDSXHGHGHVHQFDGHQDUORVHVSDVPRVHQ
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Enfermedad por reflujo gastroesofgico (ERGE).(VXQDFRQGLFLQTXHDIHFWDHOHVIDJR\
SXGLHUDVHUGHVHQFDGHQDQWHGHHVSDVPRV



Espasmo Esofgico Difuso


:ULWWHQE\'UD$QD/DXUD2UWL]6DOJDGR



 Factores


de Riesgo

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XVWHGWLHQHHQIHUPHGDGSRUUHIOXMRJDVWURHVRIJLFRXVWHGWLHQHPVSUREDELOLGDGGHSDGHFHU
HVSDVPRHVRIJLFR

 Signos


y Sntomas


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FRUD]Q DQJLQD 

 'LILFXOWDGSDUDWUDJDU GLVIDJLD 
 'RORUSDUDWUDJDU
 /DVHQVDFLQGHWHQHUXQREMHWRDWRUDGRHQODJDUJDQWD JOREXV 
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FXHOORDOJXQDVYHFHVGHMDQGRXQVDERUDPDUJR

 Estudios


Trago de bario (esofagograma).8WLOL]DVHULHVGHUD\RV;SDUDH[DPLQDUHOHVIDJRGXUDQWH


HOHVWXGLROHGDUQDWRPDUXQOTXLGRYLVFRVR EDULR TXHWHPSRUDOPHQWHFXEUHHOUHYHVWLPLHQWR
GHOHVIDJR\DVHVWHUHYHVWLPLHQWRVHSXHGHPRVWUDUHQODVLPJHQHVGHUD\RV;GHVSXV
GHOHVWXGLRXVWHGSRGUFRPHUQRUPDOPHQWH\UHJUHVDUDVXVDFWLYLGDGHVQRUPDOHVDXQTXH
QHFHVLWDUGHWRPDUPVDJXDSDUDD\XGDUDOLPSLDUHOEDULRGHVXVLVWHPD\HOLPLQDUORSDUD
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Manometra esofgica.(QHVWHHVWXGLRVHLQWURGXFHXQSHTXHRWXERDWUDYVGHVXQDUL]
KDFLDVXHVIDJRSDUDPHGLUODHIHFWLYLGDGGHORVPVFXORVGHOHVIDJRHQHOSURFHVRGH
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HVIDJRLQIHULRU<SRUPDQRPHWUDVHSXHGHYHUFRPRFRQWUDFFLRQHVVLPXOWQHDVRLUUHJXODUHV




Espasmo Esofgico Difuso


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 Complicaciones


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 Situaciones


que requieren asistencia Mdica

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DJUXUDVIUHFXHQWHV

 Tratamiento


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Manejo de condiciones subyacentes.&RQGLFLRQHVFRPRHVOD(5*(SXHGHLQLFLDUORV
HVSDVPRV
Modificar hbitos.6XSXHGHQVXJHULUFDPELRVGHKELWRVDOLPHQWLFLRV FRPRHYLWDUFRPHU
DQWHVGHDFRVWDUVH RFDPELRVHQODGLHWD HYLWDUFLHUWRVDOLPHQWRVFRPRODVHVSHFLDV\FRQ
PXFKRFLGR 
Biorretroalimentacin.(QHVWHPWRGRXVWHGXWLOL]DHQSRGHUGHVXPHQWHSDUDFRQWURODUVX
FXHUSR6HFRQHFWDQVHQVRUHVHOFWULFRVDVXFXHUSRSDUDD\XGDUDUHFRQRFHU\FRQWURODUOD
UHVSXHVWDSVLFROJLFDGHVXFXHUSRDOHVWUV
Medicamentos/RVUHODMDQWHVGHOPVFXOROLVRFRPRVRQORVEORTXHDGRUHVGHORVFDQDOHVGH
FDOFLRSXHGHQUHGXFLUODVHYHULGDGGHODVFRQWUDFFLRQHV
Los antidepresivos
tricclicos
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Ciruga./DFLUXJDUDUDYH]VHQHFHVLWDHQFDVRVJUDYHV6HSXHGHUHDOL]DUXQDPLRWRPDR
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 Pronstico




Espasmo Esofgico Difuso


:ULWWHQE\'UD$QD/DXUD2UWL]6DOJDGR

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 Prevencin


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DOLPHQWRVPX\FDOLHQWHVRPX\IURV
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HQFXDOHVDOLPHQWRVSDUHFHQFDXVDUHVSDVPR





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