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Sindroame dispeptice (Sdr.Disp esof (Cauze (cc.stenoza,esofagita de reflux…
Sindroame dispeptice
Sdr.Disp esof
disfagie,pirozis,odinofagie,durere esof,regurgitare,hipersaliv.
Cauze
cc.stenoza,esofagita de reflux,tu.benigne,diverticulii, tulb motorii,achalazia,spasm dif esof,esofag Hperist
Diagnostic
endoscopic.Rx,CT,ecoendoscopia,manometria,pH-metria
Tratament
difereintial,cauzal
S.D Ulceros
Durere-postalim,foame dureroasa,ameliorata de alim/alcaline
Cauze
:ulcer g/d,cc.gastric,duodenita,gastrita dar si PA,af biliare,colon iritabil,tulb.motilitate
Endoscopie:rx,eco bil-pancr,CT,RMN
Tratament,diferential,cauzal
S.D pancreatic
Durere,epg,in bara,irad si loc in spate,postalim,amelior de ortostatism,greturi ,balonari,varsaturi,dieree cu steatoree, DZ
cauze
PA usore ,pancr cr,cc pancreatic
Diagnostic
Eco,rx pe gol, CT,ecoendo
Tratament
diferential,cauzal
S.D biliar
forme:dispepsia +colica bil
disp.biliara:
gust amar,greturi,balonari postpand,jena dureroasa, presiune hpc.dr,eructatii,vasrsaturi,intolerante,alim(grasimi),urticarie,migrena
Colica biliara
:dureri parox,mari in hpc.dr,iradieri,spate,umar,epg+balonare,greturi,varsaturi biloase,febra uneori icter,angiocolita caract obsturct cpb
Cauze:colecistite,malformatii,parazitoze(lambliaza)
Diagnostic
:Eco,ex scaun,colecistografia,colangio-pancreatografia retrograda encoscopica,ecoenco
Tratament: diferential cauzal
Dispepsia organica
exista o cauza decelabila care da simpt:lez anat,alimente,intoler,abuz,iritative, alcool,AINS,antib,corticos,digitala,Fe,K,paraziti,lamblii,strongiloides.
varsta,disfagia,anemia,varsaturi,scad pond,masa tum.abd palpabila
25% din pop."dispepsia"-gr-digestia grea. Orice simptom ce duce la gandul la tract dig sup