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Flashcards in GI - 3 Esophagus pt 2 Deck (20)
1

What is Esophageal Manometry? What does it test?

A small, pressure sensitive tube is passed into the stomach and then the patient is asked to swallow. It tests peristaltic function of the esophagus.

2

What test is good for diagnosing Achalasia?

Esophageal Manometry

3

Esophageal Manometry is mainly used to diagnose what?

Achalasia

4

What test? Wireless or catheter based, pH probe is passed transnasally or via endoscopy, and pH is recorded for 24-48 hours. Provides info on amount of reflux and can correlate with temporal symptoms

Esophageal pH Recording

5

20% of adults report weekly heartburn and 10% daily: What is it called?

Gastroesophageal Reflux Disease

6

5 causes of GERD

Incompetent LES, Hiatal hernia, Effects of refluxate, Abnormal esophageal clearance, Delayed gastric emptying

7

4 Typical manifestations of GERD

Heartburn, Regurgitation, Sour taste, Dysphagia

8

4 Atypical manifestations of GERD

Asthma, cough, laryngitis, noncardiac chest pain

9

What is the 2 best tests to diagnose GERD? Why?

EGD. It can determine type and extent of tissue damage
Barium Esophagram (helpful for new, unfamiliar patients)

10

If a patient comes in with heartburn, do what test?

EGD

11

4 Medications for GERD. Which is the best?

Antacids, H2 blockers, PPI (the best, most effectdive, last 24 hours), Promotility agents (if patients are still symptomatic after lifestyle changes and taking PPI)

12

What is surgical fundoplication?

Fundus of the stomach is gathered, wrapped, and sutured around LES. Increases pressure at lower end of esophagus and reduces acid reflux.

13

Fundus of the stomach is gathered, wrapped, and sutured around LES. Increases pressure at lower end of esophagus and reduces acid reflux.

Surgical fundoplication. Don't do this.

14

A common complication of GERD is:

Barrett's Esophagus

15

What is Barrett's Esophagus? What else must patients also have to have this?

Squamous epithelium is replaced by metaplastic columnar epithelium with goblet/columnar cells. Patients must have specialized intestinal metaplasia.

16

Barret's Esophagus increases the risk for: (3)

Esophageal adenocarcinoma, strictures, and ulceration

17

What is the difference between adenocarcinoma and squamous carcinoma?

In adenocarcinoma The cells change into the cells in the stomach.

18

Salmon-colored, finger-like projections in the esophagus

Barrett's Esophagus

19

What is stricture?

A complication of GERD. Often at GE junction. Progressive solid food dysphagia. Must do biopsy to determine if it is malignant or benign.

20

Infectious Esophagitis is mainly in:

Immunosuppressed patients