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Flashcards in Esophagus Deck (97)
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1

the start of the esophagus at the level of what cartilage

cricoid

2

the esophagus ends at the level of?

T11

3

What are the 3 narrowings of the esophagus

1. Cricopharyngeus (C6)
2. Left mainstem bronchus (T4)
3. LES (T11)

4

The artery of the cervical portion of the esophagus is the

inferior thyroid artery

5

the artery of the thoracic portion of the esophagus is the

bronchial arteries

6

the artery of the abdominal portion of the esophagus

Left gastric
inferior phrenic

7

The venous drainage of the cervical portion of the esophagus

inferior thyroid

8

The venous drainage of the thoracic portion of the esophagus

bronchial veins

9

The venous drainage of the abdominal portion of the esophagus

coronary vein

10

[diagnostics]

the first diagnostic test in patients with suspected esophageal disease

barium swallow

11

[diagnostics]

test indicated when a motor abnormality of the esophagus on the basis of complaints

manometry

12

[diagnostics]

most direct method of measuring increased esophageal exposure to gastric juice

24 hours ambulatory pH monitoring

13

[diagnostics]

gold standard for the diagnosis of GERD

24 hour ambulatory pH monitoring

14

the resting pressure of the LES is around

6 to 26mmHg

15

A defective LE sphincter has a mean pressure of

<6 mmHg

16

a defective LE sphincter has an overall length of

<2cm

17

a defective LES has an intraabdominal length of

<1cm

18

[diagnosis]

squamous epithelium turned to columnar in the LES

barrett esophagus

19

what is the hallmark of intestinal metaplasia in barrett esophagus

presence of intestinal goblet cells

20

[GERD surgeries]

360 degree fundoplication around the LES

Nissen

21

[GERD surgeries]

180 degree posterior fundoplication

Toupet

22

[GERD surgeries]

180 degree anterior fundoplication

Dor

23

[GERD surgeries]

use a stapler to divide the cardia and upper stomach

collis gastroplasty

24

[GERD surgeries]

240 to 279 degree fundoplication

Belsey Mark IV

25

[GERD surgeries]

Arcuate ligament repair + gastropexy to diaphragm

Hill Posterior Gastropexy

26

[diagnosis]

structural deterioration of the phrenoesophageal membrane

diaphragmatic hernia

27

[diagnosis: hiatal hernia]

heartburn, regurgitation

sliding hernia

28

[diagnosis: hiatal hernia]

dysphagia, postprandial fullness, massive bleeding, gastric volvulus, infarction

paraesophageal hernia

29

[diagnosis: hiatal hernia]

chest pain, retching with inability to vomit, inability to pass a NGT

borchdart triad

30

[Type of hiatal hernia]

upward dislocation of GEJ and cardia into the thorax through the esophageal hiatus of diaphragm

Type 2: sliding hernia