INNSZ Diarrea Secretora

DIARREA SECRETORA Alejandro Chávez Ayala Gastroenterologia INCMNSZ

DIARREA Y SU ABORDAJE ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Chang F y cols. APMIS 2005; 113:385

FISIOLOGIA INTESTINAL ,[object Object],[object Object],[object Object],[object Object]

FISIOLOGIA INTESTINAL ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

BRECHA OSMÓTICA ,[object Object],[object Object],[object Object],[object Object],Eherer AJ y cols. Fecal osmotic gap and pH in experimental diarrhea of various causes. Gastroenterology 1992; 103: 545-551.

BRECHA OSMÓTICA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

BRECHA OSMÓTICA ,[object Object],[object Object],Soluto no absorbible K Na K Na

DIARREA SECRETORA Sellin JH. Secretory Diarrhea. Curr Gastroenterol Rep 2000; 3:15-23.

EJEMPLO ,[object Object],[object Object],[object Object],[object Object],[object Object],a

INFECCIOSAS ,[object Object],[object Object],[object Object],[object Object],[object Object]

COLERA EN MÉXICO Flisser A y cols. Infectious diseases in Mexico. Arch Med Res 2002; 342:350.

ESCHERICIA COLI ,[object Object],[object Object],[object Object],[object Object],Flisser A y cols. Infectious diseases in Mexico. Arch Med Res 2002; 342:350.

ESCHERICIA COLI Flisser A y cols. Infectious diseases in Mexico. Arch Med Res 2002; 342:350.

DIARREA DE BRAINERD ,[object Object],[object Object],Osterholm MT y cols. JAMA 1986; 256: 484-90

AUSENCIA DE TRANSPORTE IONICO ,[object Object],[object Object],[object Object],[object Object]

INFLAMACION ,[object Object],[object Object],[object Object]

COLITIS MICROSCOPICA ,[object Object],[object Object],[object Object],[object Object],[object Object]

ALTERACION EN REGULACIÓN ,[object Object],[object Object],[object Object]

SECRETAGOGOS ,[object Object],[object Object],[object Object],[object Object],[object Object],Phillips SF. Diarrhea after cholecystectomy: If so, why. Gastroenterology 1998; 114: 197-210.

SECRETAGOGOS ,[object Object],[object Object],[object Object]

SECRETAGOGOS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

CARCINOIDE ,[object Object],[object Object],[object Object],[object Object]

SECRETAGOGOS CIRCULANTES ,[object Object],[object Object],[object Object],[object Object],[object Object]

SECRETAGOGOS CIRCULANTES ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

CASO CLÍNICO ,[object Object],[object Object],[object Object]

CASO CLÍNICO Dx: Neuroblastoma metastasico

CASO CLÍNICO ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

INNSZ Diarrea Secretora

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INNSZ Diarrea Secretora