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esophageal disorders
esophageal disorders
39
Medical
Professional
07/11/2011

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Term
orophanryngeal dysphagia
Definition
CVA
muscular diseases
--ALS
--muscular dystrophy
--myositis
UES obstruction
--dysfunction
--Zencker's diverticulum
--osteophyte
Term
Oropharyngeal dysphagia Treatment options
Definition
Esophageal dilation
Botox
Myotomy
-Open
-Endoscopic
Feeding tube
Term
Esophageal strictures
Definition
Gastroesophageal reflux
Rings
Webs
Pills
Malignancy
Term
Muscular indentation in the esophagus
Definition
esophageal ring
Term
thin fibrous band that extends into the lumen of the esophagus
Definition
web
Term
steakhouse syndrome
Definition
schatzi's ring
Term
Rings formed at the gastroesophageal junction
Definition
Schatzki
Term
Eosinophilic esophagitis
Definition
Multiple rings
Allergy
Gastroesophageal reflux
Combination
Long term management uncertain
Term
stricture esophagus
Definition
common in young people
Term
Medications known to cause esophageal injury
Definition
Tetracycline
Quinidine
Potassium chloride tablets
Iron salts
NSAIDs
Aspirin
Fosomax
Term
Achalasia
Definition
Absence of peristalsis
Incomplete LES relaxation
Unknown etiology
Some patients have T-cell inflammatory infiltrates
Term
Achalasia treatment
Definition
Surgery
Esophageal dilation
Botulinum toxin injection
Medical therapy
Nitrates, calcium channel blockers
Term
SECONDARY ACHALASIA
Definition
Esophageal
Gastric
Pancreatic
Hepatic
Colon
Duodenal
Prostate
Renal

Lung
Breast
Lymphoma
Sarcoma
Pancreatic pseudocyst
Mesothelioma
Cholangiocarcinoma
Term
Esophageal spastic disorders
Definition
Diffuse esophageal spasm
Simultaneous contractions > 10%
Nutcracker esophagus
Esophageal body amplitudes >180 mmHg
Term
Bird’s been phenomenon
Definition
Achalasia
Term
Esophageal motility disorders treatment
Definition
Anti-reflux therapy
Calcium channel blockers, nitrates
Sildenafil
Botox injection (for dysphagia)
Tricyclic antidepressants (for pain)
Surgery
Term
outpouching of the esophageal wall from the lumen that may contain all portions of the esophageal wall or may lack the muscularis mucosa
Definition
esophageal diverticulum
Term
characteristics of heartburn
Definition
substernal discomfort
radiation toward mouth
Term
Causes of increased exposure of the esophagus to gastric refluxate
Definition
, most people with GERD show abnormal exposure of the esophagus to gastric acid and pepsin. In most cases, this is due to dysfunction of the lower esophageal sphincter (LES). However, exposure can also be increased as a result of increased intra-abdominal pressure, hiatal hernia, inadequate clearance of refluxate from the esophagus, or delayed gastric emptying
Term
site of acid secretion
Definition
The parietal cell
Term
Atypical GERD
Definition
Asthma
Chronic cough
Chest pain
Laryngitis
Term
GERD Diagnostic testing
Definition
History
Therapeutic trial
Barium Swallow
Endoscopy
Ambulatory pH monitoring
Term
Bravo™ pH System
Definition
Position Bravo Capsule

Apply Suction

Advance Trocar Incising Tissue

Release Capsule

Begin pH Recording
Term
disorder in which the lining of the esophagus (the tube that carries food from the throat to the stomach) is damaged by stomach acid
Definition
Barrett's esophagus
Term
Bravo™ pH System
Definition
Position Bravo Capsule

Apply Suction

Advance Trocar Incising Tissue

Release Capsule

Begin pH Recording
Term
disorder in which the lining of the esophagus (the tube that carries food from the throat to the stomach) is damaged by stomach acid
Definition
Barrett's esophagus
Term
arterial supply of the esophagus
Definition
inferior thyroid
R bronchial artery
L bronchial artery
aortic esophageal arteries
L gastric
azygous, hemiazygous, and coronary veins
Term
Mallory-Weiss tear
Definition
occurs in the mucus membrane of the lower part of the esophagus or upper part of the stomach, near where they join. The tear may bleed.
Term
Precipitating factors for Mallory-Weiss tears
Definition
N/V
retching
coughing
valsalva
Term
desquamated esophageal epithelium from the middle to the distal esophagus
Definition
Caustic injury
Term
Malignant tumors of the esophagus
Definition
squamous cell
adenocardinoma
carcinoid tumor
leiomyosarcoma
Term
Expandable metallic stents
Definition
may increase the use of stenting to palliate patients with esophageal cancer. They have several advantages over traditional stents
Term
middle aged male having dysphagia
Definition
Eosinophilic esophagitis
Term
generally the therapy chosen for achalasia
Definition
Pneumatic balloon dilators
Term
endoabdominal fascia relaxes, allowing a portion of the gastric fundus to slide through the hiatus into the mediastinum
Definition
Sliding hiatal hernia
Paraesophageal hernia
Term
cardioesophageal junction characteristically maintains normal position because the paraesophageal ligaments are normally arranged around most of the esophagus
Definition
Paraesophageal hernia
Term
Substances influencing LES pressure
Definition
. Intra-abdominal pressure, gastric distension, food, and many peptides and drugs affect LES pressure.
Term
Chronic Cough and GERD treatment
Definition
Omeprazole
Term
features to distinguish between esophageal pain and cardiac pain
Definition
atypical response to exercise
pain continued as a background ache
retrosternal pain without radiation
pain that disturbed sleep
esophageal symptoms (heartburn, dysphagia)
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