Esophageal Disorders Flashcards
(10 cards)
1
Q
- Squamous epithelium replaced by metaplastic columnar epithelium w/ goblet cells
- Chronic reflux induced injury
- Dyspepsia
- Endoscopy q3-5yrs to follow
- PPI
A
Barrett Esophagus
2
Q
LES loose, allowing reflux
- Heartburn, regurigation, worse w/ laying p eating; cough
- Endoscopy
- Diet/lifestyle changes
- PPIs & H2 blockers
A
GERD
3
Q
Lower esophageal mucosal ring near LES
- Episodic solid food dysphagia
- Endoscopy
- Barium esophogram
- Dilation & PPIs
A
Schatzki Ring
4
Q
Fibrosis results in narrowing of esophagus
Severe irriation 2/2 GERD or caustic ingestion
Solid food dysphagia
A
Esophageal Stricture
5
Q
- Esophageal motility disorde: loss of peristalsis in distal 2/3 of esophagus and impaired relaxation of LES
- Idiopathic
- Insidious dysphagia; “food sticking”; regurg
- Barium esophagram; manometry
- Surgery or botox
A
Achalasia
6
Q
-Loss of elasticity of upper esophageal sphincter due to protrusion of pharyngeal mucosa
-Dysphagia, regurg, trapped food
-Barium esopho
Surgery
A
Zenker Diverticulum
7
Q
- Non-penetrating mucosal teat at gastoesophageal junction resulting from sudden increase in transadbominal pressure
- ETOH precipitating factor
- Hematemsisi
- Most require no tx
A
Mallory-Weiss Syndrome
8
Q
- Dilated submucosal veins
- Portal HTN
- Red Wale Markings
A
Esophageal Varices
9
Q
Most squamous cell carcinomas
A
Esophageal malignancies
10
Q
- Candida, HSV, CMV
- Seen in immunocompromised
- Odynophagia, dysphagia, CP
- Endoscopy with biopsy
A
Infectious esophagitis
