Upper GI (Exam 3) Flashcards
(52 cards)
Upper GI
Esophagus
Stomach
Beginning of small intestines
Lower GI
Small intestines
Colon
Recutm/anus
All upper GI disorder
GERD
Hiatal hernia
Gastritis
Acute gastroenteritis
PUD
Upper GI: Esophageal disorders
GERD
Hiatal Hernia
Upper GI problems: Inflammatory disorders of the stomach
Gastritis
Acute gastroenteritis
PUD
Dysphagia: Definitions
Difficult swallowing
Begins with solids and progresses to liquids
Dysphagia: Mechanical Obstructions
Stenosis or stricture
Diverticula
Tumors
Dysphagia: Neuromuscular
CVA storke
Achalasia - LES can’t open properly
GERD: What is it and why does it happen?
Gastroa Esophageal Reflux Disease
Heartburn
LES not closing properly which allows stomach contents to pass through
Why is GERD irritating?
HIGHLY acidic material passing through the LES into the esphogous
GERD: Etiology
Anything that alters closure strength of LES
or
Increase abdominal pressure
Things that can trigger GERD
Food and Drink Irritants
Cigarette
Sleep position
Obesity
Pregnancy
Pharmacologic agents
GERD: Clinical Manifestiations
-Heartburn (pyrosis)
-Dyspepsia (discomfort)
-Regurgitation
-Dysphagia
-Pulmonary symptoms
GERD: Complications
Tooth decay and bad breath
Chronic cough and asthma
Earache and hoarseness
GERD: Severe Complications
-Ulcerations in E
-Scarring in E
-Strictures in E
Most severe complication of GERD
Barrett esophagus (development of abnormal metaplastic tissue - premalignant)
Three fold increased risk of developing adenocarcinoma of the esophagus
17% survival rate
Hiatal Hernia
A defect in the diaphragm that allows part of the STOMACH to pass into the THORAX
Sliding hernia
usually small and often do not need treatment
peritoneum stays intact and restrains size of the hernia
Paraesophageal Hernia
Part of the stomach pushes through the diaphragm and stays there
Rolling hernia
Peritoneum becomes thinner and stomach enters into chest area
Hiatal hernia: What causes it?
Injuring or damage may weaken the diaphragm
Repeatedly putting too much pressure:
Coughing - Vomiting - Constipations straining
Hiatal Hernia: RF
Age
Obesity
Smoking
Hiatal Hernia: Clinical manifestations
-Asymptomatic
-Belching
-Dysphagia
-Chest pain
Hiatal Hernia: Treatment (non pharm)
Small and avoid lying down after eating
Avoid tight clothing
Weight control
Gastritis
Inflammatory condition of the stomach