Contenu connexe Similaire à Expo clinicas neoplasias (20) Plus de Clinicas Quirurgicas (20) Expo clinicas neoplasias1. Neoplasms
Portal
Hypertension
Clinical Surgery Department
Dr. Benjamin Robles Madrigal
Dr. Hector Manuel Vírgen Ayala
Francisco Javier Robles Saucedo
5. Focal Nodular
Hyperplasia
Women
40 years old
80% lonely
5 – 10 cm
Central Star-
Shaped Scar
6. Focal Nodular
Hyperplasia
Abdominal pain
(rarely)
Dx.
CT
MRI
Tx
Resection
8. Hepatocellular
Carcinoma
1-3:100,000
Men (2-8:1) 50-60 Risk Factors:
years old Cirrhosis
Smoking
Alcohol
Contraceptives
VHB & VHC
9. Hepatocellular
Carcinoma
Symtomps
Abdominal pain
weight loss
Anorexy
Nausea
Budd-Chiari Syndrome
Jaundice
Hemobilia
11. Hepatocellular
Carcinoma
Tx.
Qx
Hepatectomy
Ablative
Ethanol Inyection
Thermal Ablation
Transarterial
Embolization
Combinated
External Radiation
Sistemic
Chemotherapy
Inmunotherapy
12. Portal
Hypertension
Portal Vein Pressure > 10 mm Hg
Flow Resistance
Pre - Hepatic (Obstruction)
Hepatic (Cirrhosis, Hepatitis)
Post – Hepatic (Sx. Budd – Chiari)
Portal Circulation (>1350 ml/min)
Porto-arterial Fistula
Splenic circulation increment
(Sx. Banti)
13. Portal
Hypertension
Tx.
Shunts
Ballon Tamponande
TIPS (Transjugular
intrahepatic portosystemic
shunt)
Vasopressin
Liver Transplant
Endoscopic
Schlerotherapy.