Esophagus, Stomach, and Duodenum Disorders

Question 1

What is the most common cause of esophagitis?

Answer 1

GERD

Question 2

What is the etiology of esophagitis?

Answer 2

• Reflux/erosive
• Infection (usually fungal)
• Pill induced esophagitis
• Eosinophilic
• Radiation induced

Question 3

What is the most common pathogen in infectious esophagitis?

Answer 3

Candida

Question 4

What is the presentation of esophagitis?

Answer 4

Retrosternal chest pain
Heartburn
Odynophagia
Dysphagia

Question 5

What is the diagnosis and work-up for esophagitis?

Answer 5

Endoscopy and biopsy may differentiate subtypes

Question 6

How will candidiasis appear on endoscopy?

Answer 6

Small, diffuse, linear, yellow-white, “cheese like” plaques adherent to mucosa

Question 7

What is the treatment for erosive/reflux esophagitis?

Answer 7

H2 blocker or PPI

Question 8

What is the treatment for candida esophagitis?

Answer 8

Oral fluconazole

Question 9

What is the treatment for EoE esophagitis?

Answer 9

Budesonide or fluticasone

Question 10

What needs to be avoided in patients with esophagitis?

Answer 10

NSAIDs

Question 11

What are complications associated with esophagitis?

Answer 11

• Bleeding
• Stricture
• Barrett’s esophagus
• Perforation
• Laryngitis
• Aspiration pneumonitis