Flashcards in clinical esophageal disorders Deck (11):
lower esophageal mucosal ring, can cause dysphagia.
Higher in esophagus, associated w/ plummer-vinson
common pathophys of GERD
exaggeration of transient LES relaxation reflex (LES hypotension), impaired salivation, impaired peristaltic emptying
PPI/H2RA blockers, nissen fundoplication, modify eating habits and foods (fats, EtOH, mint, tomato, caffeine)
presentation of EoE in adults? in kids?
male, fibrostenotic features (concentric rings, strictures), food impaction and dysphagia, reflux symptoms.
refractory reflux symptoms, vomitting, growth problems, edeam, exudates, furrowing.
Both often have hx of atopy and link to FOOD ALLERGIES
therapy for EoE?
topical fluticasone. Six food elimination diet (milk, wheat, soy, egg, nut, mariscos)
cause of achalasia? characteristics?
loss of myenteric plexus possibly from Chagas infection.. High LES pressure and uncoordinated SM peristalsis.
presentation and diagnosis of achalasia
intolerance of solids and liquids, dysphagia, regurgitation, wt loss, aspiration pneumonia. Manometry and barium swallow (bird-beak)
complications of achalasia
sq cell carcinoma
three achalasia treatments
botox, pneumatic dilation, heller myotomy
diffuse esophageal spasm: two kinds, appearance on barium swallow, treatments
distal and nutcracker. corkscrew esophagus. Nitrates, CCBs, botox, anxiolytics