GI Quiz 1 - Obstructive Disorders Flashcards Preview

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Flashcards in GI Quiz 1 - Obstructive Disorders Deck (8)
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1
Q

What are 3 types of obstructive disorders?

A
  1. LE/Schatski’s Ring(s)
  2. Eso. Webs (i.e. Plummer-Vinson Syndrome, Paterson Kelly Syndrome, Sideropenic Dysphagia)
  3. Dysphagia Lusoria
2
Q

What is are LE Rings?

A

2-4 mm mucosal stricture, congenital, causing ring like narrowing of distal eso. @ squamocolumnar junc.

3
Q

What are Esophageal Webs?

A

Thin mucosal memb. that grows across lumen of eso., usu in upper eso.

4
Q

What causes dysphagia lusoria?

A

Compression of eso. from several congenital abnormalities (usu. aberrant R subclavian Art.)

5
Q

What is a rare cause of Eso. Webs related to a deficiency?

A

Severe, unTx iron deficiency anemia (Plummer-Vinson Syndrome)

6
Q

What is the common work-up for all obstructive disorders?

A

Barium swallow!

7
Q

What bonus workup does Dysphagia Lusoria get to absolutely Dx?

A

Arteriography!

8
Q

What are the SSx for LE rings vs. Eso. Webs?

A

LE Rings: intermittent dysphagia for solids (meat/dry bread), +25 y/o

Eso. Webs: dysphagia for solids