https://wikem.org/w/index.php?action=history&feed=atom&title=Achalasia%2Fes 2026-04-18T23:09:45Z Revision history for this page on the wiki MediaWiki 1.38.2 https://wikem.org/w/index.php?title=Achalasia/es&diff=382891&oldid=prev 2026-01-18T00:54:17Z

<p></p> <table style="background-color: #fff; color: #202122;" data-mw="interface"> <col class="diff-marker" /> <col class="diff-content" /> <col class="diff-marker" /> <col class="diff-content" /> <tr class="diff-title" lang="es"> <td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">← Revisión anterior</td> <td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">Revisión del 00:54 18 ene 2026</td> </tr><tr><td colspan="2" class="diff-lineno" id="mw-diff-left-l25">Línea 25:</td> <td colspan="2" class="diff-lineno">Línea 25:</td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>*[[Special:MyLanguage/Ingested foreign body|Cuerpo extraño ingerido]]</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>*[[Special:MyLanguage/Ingested foreign body|Cuerpo extraño ingerido]]</div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>*Carcinoma esofágico - ''disfagia predominantemente para alimentos sólidos durante las etapas iniciales''</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>*Carcinoma esofágico - ''disfagia predominantemente para alimentos sólidos durante las etapas iniciales''</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>*<del style="font-weight: bold; text-decoration: none;">Esofagitis por reflujo </del>[[Special:MyLanguage/esophagitis|<del style="font-weight: bold; text-decoration: none;">esofagitis</del>]] - ''disfagia resulta de <del style="font-weight: bold; text-decoration: none;">la inflamación </del>o una estenosis fibrotica''</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>*[[Special:MyLanguage/esophagitis|<ins style="font-weight: bold; text-decoration: none;">Esofagitis</ins>]] <ins style="font-weight: bold; text-decoration: none;">por reflujo </ins>- ''<ins style="font-weight: bold; text-decoration: none;">la </ins>disfagia resulta de <ins style="font-weight: bold; text-decoration: none;">hinchazón inflamatoria </ins>o una estenosis fibrotica''</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>*<del style="font-weight: bold; text-decoration: none;">Pseudoacalasia </del>- ''<del style="font-weight: bold; text-decoration: none;">neoplasia </del>subyacente <del style="font-weight: bold; text-decoration: none;">que </del>imita <del style="font-weight: bold; text-decoration: none;">a </del>la <del style="font-weight: bold; text-decoration: none;">acalasia</del>''</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>*<ins style="font-weight: bold; text-decoration: none;">Pseudoaclasia </ins>- ''<ins style="font-weight: bold; text-decoration: none;">una malignidad </ins>subyacente imita la <ins style="font-weight: bold; text-decoration: none;">aclasia</ins>''</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>*[[Special:MyLanguage/Connective tissue disorders|Trastornos del tejido conectivo]] - ''<del style="font-weight: bold; text-decoration: none;">p. ej. </del>[[Special:MyLanguage/scleroderma|<del style="font-weight: bold; text-decoration: none;">esclerodermia </del>sistémica]]''</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>*[[Special:MyLanguage/Connective tissue disorders|Trastornos del tejido conectivo]] - ''<ins style="font-weight: bold; text-decoration: none;">por ejemplo, </ins>[[Special:MyLanguage/scleroderma|<ins style="font-weight: bold; text-decoration: none;">esclerosis </ins>sistémica]]''</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>*Espasmo esofágico - ''dolor <del style="font-weight: bold; text-decoration: none;">en el pecho </del>es una característica predominante''</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>*Espasmo esofágico - ''<ins style="font-weight: bold; text-decoration: none;">el </ins>dolor <ins style="font-weight: bold; text-decoration: none;">torácico </ins>es una característica predominante''</div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td></tr> <tr><td colspan="2" class="diff-lineno" id="mw-diff-left-l34">Línea 34:</td> <td colspan="2" class="diff-lineno">Línea 34:</td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>==Evaluación==</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>==Evaluación==</div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>*<del style="font-weight: bold; text-decoration: none;">Tracto gastrointestinal superior</del></div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>*<ins style="font-weight: bold; text-decoration: none;">GI Superior</ins></div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>**Dilatación esofágica</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>**Dilatación esofágica</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>**<del style="font-weight: bold; text-decoration: none;">Señal de </del>pico de <del style="font-weight: bold; text-decoration: none;">pájaro </del></div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>**<ins style="font-weight: bold; text-decoration: none;">Signo del </ins>pico de <ins style="font-weight: bold; text-decoration: none;">ave</ins></div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>[[File:Birds Beak.JPG|thumbnail|<del style="font-weight: bold; text-decoration: none;">Trago </del>de bario <del style="font-weight: bold; text-decoration: none;">que muestra </del>apariencia de pico de <del style="font-weight: bold; text-decoration: none;">pájaro</del>]]</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>[[File:Birds Beak.JPG|thumbnail|<ins style="font-weight: bold; text-decoration: none;">Deglución </ins>de bario <ins style="font-weight: bold; text-decoration: none;">mostrando </ins>apariencia de pico de <ins style="font-weight: bold; text-decoration: none;">ave</ins>]]</div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>*Manometría esofágica</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>*Manometría esofágica</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>[[File:Manometry.jpg|thumbnail|Contracciones aperistálticas, presión intraesofágica aumentada y <del style="font-weight: bold; text-decoration: none;">fallo </del>de <del style="font-weight: bold; text-decoration: none;">la </del>relajación del esfínter esofágico inferior.]]</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>[[File:Manometry.jpg|thumbnail|Contracciones aperistálticas, presión intraesofágica aumentada y <ins style="font-weight: bold; text-decoration: none;">falla </ins>de relajación del esfínter esofágico inferior.]]</div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td></tr> <tr><td colspan="2" class="diff-lineno" id="mw-diff-left-l45">Línea 45:</td> <td colspan="2" class="diff-lineno">Línea 45:</td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>==Manejo==</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>==Manejo==</div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>*<del style="font-weight: bold; text-decoration: none;">Ensayo </del>de <del style="font-weight: bold; text-decoration: none;">antiespasmódico </del>para espasmo esofágico  </div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>*<ins style="font-weight: bold; text-decoration: none;">Prueba </ins>de <ins style="font-weight: bold; text-decoration: none;">antiespasmódicos </ins>para espasmo esofágico</div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>**[[Special:MyLanguage/Nifedipine|Nifedipina]]</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>**[[Special:MyLanguage/Nifedipine|Nifedipina]]</div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>*Intervención quirúrgica</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>*Intervención quirúrgica</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>**Dilatación con <del style="font-weight: bold; text-decoration: none;">balón</del></div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>**Dilatación con <ins style="font-weight: bold; text-decoration: none;">globo</ins></div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>**Inyección de toxina botulínica <del style="font-weight: bold; text-decoration: none;">&lt;ref&gt;</del>Nassri A, Ramzan Z. <del style="font-weight: bold; text-decoration: none;">Farmacoterapia para el manejo de la acalasia</del>: <del style="font-weight: bold; text-decoration: none;">Estado actual</del>, <del style="font-weight: bold; text-decoration: none;">desafíos y direcciones futuras</del>. World J Gastrointest Pharmacol Ther. [http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4635155/ 2015 Nov 6;6(4):145-55.]<del style="font-weight: bold; text-decoration: none;">&lt;/ref&gt;</del></div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>**Inyección de toxina botulínica Nassri A, Ramzan Z. <ins style="font-weight: bold; text-decoration: none;">Pharmacotherapy for the management of achalasia</ins>: <ins style="font-weight: bold; text-decoration: none;">Current status</ins>, <ins style="font-weight: bold; text-decoration: none;">challenges and future directions</ins>. World J Gastrointest Pharmacol Ther. [http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4635155/ 2015 Nov 6;6(4):145-55.]</div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>**Miomectomía</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>**Miomectomía</div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>**Considerar gastrostomía para pacientes frágiles y mayores</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>**Considerar gastrostomía para pacientes frágiles y mayores</div></td></tr> </table>

Ostermayer https://wikem.org/w/index.php?title=Achalasia/es&diff=382887&oldid=prev 2026-01-18T00:50:50Z

<p></p> <table style="background-color: #fff; color: #202122;" data-mw="interface"> <col class="diff-marker" /> <col class="diff-content" /> <col class="diff-marker" /> <col class="diff-content" /> <tr class="diff-title" lang="es"> <td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">← Revisión anterior</td> <td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">Revisión del 00:50 18 ene 2026</td> </tr><tr><td colspan="2" class="diff-lineno" id="mw-diff-left-l5">Línea 5:</td> <td colspan="2" class="diff-lineno">Línea 5:</td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>[[File:Gray1032.png|thumb|Vista posterior de la posición y relación del esófago en la región cervical y en el mediastino posterior.]]</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>[[File:Gray1032.png|thumb|Vista posterior de la posición y relación del esófago en la región cervical y en el mediastino posterior.]]</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>[[File:Layers of the GI Tract english.svg|thumb|Capas del tracto <del style="font-weight: bold; text-decoration: none;">gastrointestinal</del>: la mucosa, submucosa, muscularis y serosa.]]</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>[[File:Layers of the GI Tract english.svg|thumb|Capas del tracto <ins style="font-weight: bold; text-decoration: none;">GI</ins>: la mucosa, submucosa, muscularis y serosa.]]</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>[[File:Illu esophagus.jpg|thumb|Anatomía y nomenclatura <del style="font-weight: bold; text-decoration: none;">del esófago </del>basada en dos sistemas.]]</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>[[File:Illu esophagus.jpg|thumb|Anatomía <ins style="font-weight: bold; text-decoration: none;">del esófago </ins>y nomenclatura basada en dos sistemas.]]</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>*Incapacidad del <del style="font-weight: bold; text-decoration: none;">LES </del>para relajarse y pérdida de la peristalsis normal &lt;ref&gt;Krill JT, Naik RD, Vaezi MF. <del style="font-weight: bold; text-decoration: none;">Manejo clínico de la acalasia</del>: <del style="font-weight: bold; text-decoration: none;">estado actual del arte</del>. [http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4831602/ Clin Exp Gastroenterol. 2016 Apr 4;9:71-82.]&lt;/ref&gt;</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>*Incapacidad del <ins style="font-weight: bold; text-decoration: none;">EEI </ins>para relajarse y pérdida de la peristalsis normal &lt;ref&gt;Krill JT, Naik RD, Vaezi MF. <ins style="font-weight: bold; text-decoration: none;">Clinical management of achalasia</ins>: <ins style="font-weight: bold; text-decoration: none;">current state</ins></div></td></tr> <tr><td colspan="2" class="diff-side-deleted"></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins style="font-weight: bold; text-decoration: none;">of the art</ins>. [http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4831602/ Clin Exp Gastroenterol. 2016 Apr 4;9:71-82.]&lt;/ref&gt;</div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td></tr> <tr><td colspan="2" class="diff-lineno" id="mw-diff-left-l15">Línea 15:</td> <td colspan="2" class="diff-lineno">Línea 16:</td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>*[[Special:MyLanguage/Dysphagia|Disfagia]]</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>*[[Special:MyLanguage/Dysphagia|Disfagia]]</div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>*Regurgitación</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>*Regurgitación</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>*[[Special:MyLanguage/Chest pain|Dolor <del style="font-weight: bold; text-decoration: none;">en el pecho</del>]]</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>*[[Special:MyLanguage/Chest pain|Dolor <ins style="font-weight: bold; text-decoration: none;">torácico</ins>]]</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>**El espasmo esofágico puede sentirse como un dolor retroesternal apretado y aplastante similar <del style="font-weight: bold; text-decoration: none;">al </del>SCA <del style="font-weight: bold; text-decoration: none;">(Síndrome Coronario Agudo)</del></div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>**El espasmo esofágico puede sentirse como un dolor retroesternal apretado y aplastante similar <ins style="font-weight: bold; text-decoration: none;">a un </ins>SCA</div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td></tr> </table>

Ostermayer https://wikem.org/w/index.php?title=Achalasia/es&diff=381042&oldid=prev 2026-01-09T08:08:17Z

<p>Created page with &quot;*<a href="/wiki/Special:MyLanguage/Ingested_foreign_body" title="Special:MyLanguage/Ingested foreign body">Cuerpo extraño ingerido</a> *Carcinoma esofágico - &#039;&#039;disfagia predominantemente para alimentos sólidos durante las etapas iniciales&#039;&#039; *Esofagitis por reflujo <a href="/wiki/Special:MyLanguage/esophagitis" title="Special:MyLanguage/esophagitis">esofagitis</a> - &#039;&#039;disfagia resulta de la inflamación o una estenosis fibrotica&#039;&#039; *Pseudoacalasia - &#039;&#039;neoplasia subyacente que imita a la acalasia&#039;&#039; *<a href="/wiki/Special:MyLanguage/Connective_tissue_disorders" title="Special:MyLanguage/Connective tissue disorders">Trastornos del tejido conectivo</a> - &#039;&#039;p....&quot;</p> <p><b>Página nueva</b></p><div>&lt;languages/&gt;<br /> <br /> <br /> ==Antecedentes==<br /> <br /> [[File:Gray1032.png|thumb|Vista posterior de la posición y relación del esófago en la región cervical y en el mediastino posterior.]]<br /> [[File:Layers of the GI Tract english.svg|thumb|Capas del tracto gastrointestinal: la mucosa, submucosa, muscularis y serosa.]]<br /> [[File:Illu esophagus.jpg|thumb|Anatomía y nomenclatura del esófago basada en dos sistemas.]]<br /> *Incapacidad del LES para relajarse y pérdida de la peristalsis normal &lt;ref&gt;Krill JT, Naik RD, Vaezi MF. Manejo clínico de la acalasia: estado actual del arte. [http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4831602/ Clin Exp Gastroenterol. 2016 Apr 4;9:71-82.]&lt;/ref&gt;<br /> <br /> <br /> <br /> ==Características clínicas==<br /> <br /> *[[Special:MyLanguage/Dysphagia|Disfagia]]<br /> *Regurgitación<br /> *[[Special:MyLanguage/Chest pain|Dolor en el pecho]]<br /> **El espasmo esofágico puede sentirse como un dolor retroesternal apretado y aplastante similar al SCA (Síndrome Coronario Agudo)<br /> <br /> <br /> <br /> ==Diagnóstico diferencial==<br /> <br /> *[[Special:MyLanguage/Ingested foreign body|Cuerpo extraño ingerido]]<br /> *Carcinoma esofágico - ''disfagia predominantemente para alimentos sólidos durante las etapas iniciales''<br /> *Esofagitis por reflujo [[Special:MyLanguage/esophagitis|esofagitis]] - ''disfagia resulta de la inflamación o una estenosis fibrotica''<br /> *Pseudoacalasia - ''neoplasia subyacente que imita a la acalasia''<br /> *[[Special:MyLanguage/Connective tissue disorders|Trastornos del tejido conectivo]] - ''p. ej. [[Special:MyLanguage/scleroderma|esclerodermia sistémica]]''<br /> *Espasmo esofágico - ''dolor en el pecho es una característica predominante''<br /> <br /> <br /> <br /> ==Evaluación==<br /> <br /> *Tracto gastrointestinal superior<br /> **Dilatación esofágica<br /> **Señal de pico de pájaro <br /> [[File:Birds Beak.JPG|thumbnail|Trago de bario que muestra apariencia de pico de pájaro]]<br /> *Manometría esofágica<br /> [[File:Manometry.jpg|thumbnail|Contracciones aperistálticas, presión intraesofágica aumentada y fallo de la relajación del esfínter esofágico inferior.]]<br /> <br /> <br /> <br /> ==Manejo==<br /> <br /> *Ensayo de antiespasmódico para espasmo esofágico <br /> **[[Special:MyLanguage/Nifedipine|Nifedipina]]<br /> *Intervención quirúrgica<br /> **Dilatación con balón<br /> **Inyección de toxina botulínica &lt;ref&gt;Nassri A, Ramzan Z. Farmacoterapia para el manejo de la acalasia: Estado actual, desafíos y direcciones futuras. World J Gastrointest Pharmacol Ther. [http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4635155/ 2015 Nov 6;6(4):145-55.]&lt;/ref&gt;<br /> **Miomectomía<br /> **Considerar gastrostomía para pacientes frágiles y mayores<br /> *Los pacientes necesitan comer en posición vertical en todo momento.<br /> *El tratamiento puede mejorar la disfagia, pero no hay cura y la deglución nunca se normaliza completamente<br /> <br /> <br /> <br /> ==Destino==<br /> <br /> <br /> ==Ver también==<br /> <br /> *[[Special:MyLanguage/Ingested foreign body|Cuerpo extraño ingerido]]<br /> <br /> <br /> <br /> ==Enlaces Externos==<br /> <br /> <br /> ==Referencias==<br /> <br /> &lt;references/&gt;<br /> <br /> [[Category:GI]]</div>

Ostermayer