Esophageal Disorders DSA

Question 1

Study of choice for evaluating:
persistent heartburn
dysphagia
odynophagia
Structural abnormalities detected on barium esophagography

Answer 1

Upper endoscopy (Esophagogastroduodenoscopy - EGD)

Question 2

Study of choice to evalutate oropharyngeal dysphagia

Answer 2

video esophagraphy/ videofluoroscapy (rapid sequence)

Question 3

Benefits of an EGD

Answer 3

direct visualization
allows biopsy of mucosal abnormalities and of normal appearing mucous
allows for dilation of strictures

Question 4

Study of choice for esophageal dysphagia
is able to differentiate between mechanical lesions and motility disorders as well as ID rings, achalasia, proximal espophageal lesions

Answer 4

Barium esophagography

Question 5

assesses esophageal motility

indicated in pt with dysphagia in which a mechanical obstruction cannot be found

Answer 5

esophageal manometry

dx achalasia

Question 6

in what kind of situations would an esophageal ph monitor be used?

Answer 6

in evaluation of pt with atypical reflux symptoms or persistent symptoms despite therapy with proton pump inhibitors