Artresia esofágica Flashcards

1
Q

Incidencia

A

1 de cada 2500 a 4500 RN vivos

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2
Q

Anomalia más común asociada

A

cardiacas (35%) especialmente defecto del septo ventricular y tetralogía de Fallot

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3
Q

Acronimo de VACTERL significa

A
Anomalias
Vertebrales
Anorrectales
Cardiacas
Traqueales (fistiula traqueoesofagica)
Esofágicas
Radiales, renales 
Extremidades (limbs)
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4
Q

Cuantos tipos hay

A

6 tipos

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5
Q

forma más común

A

Tipo III Artresia esofágica con fístula traqueoesofágica distal

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6
Q

Tipo 1

A

Atresia esofágica sin fístula traqueoesofagica

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7
Q

Tipo 2

A

Atresia esofágica con fístula traqueoesofagica próxima

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8
Q

Tipo 3

A

Artresia esofágica con fístula traqueoesofágica distal

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9
Q

Tipo 4

A

Atresia esofágica con fístula traqueoesofagica próxima y distal

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10
Q

Tipo 5

A

Fistula traqueoesofagica sin atresia esofagica (tipo H)

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11
Q

Diagnostico prenatal a partir de que semana se realiza el dx

A

18 sdg

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12
Q

Hallazgo más frecuente en el diagnostico prenatal

A

Polihidramnios

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13
Q

Datos clínicos en el periodo neonatal

A

Salivación excesiva, tos, cianosis, dificultad respiratoria, distensión abdominal

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14
Q

Diagnostico clinico postnatal

A

se corrobora mediante rx toraxy cuello AP y lateral colocando una sonda radio-opaca

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15
Q

Tratamiento

A

mediante toracotomia con cierre y ligadura de las fístulas y aproximación de los cabos esofágicos

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