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GI Medical Aspects of Esophagus-3
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27
Accounting
Pre-School
10/10/2012

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Cards

Term
putting food or liquid bolus into the mouth and includes transport of the bolus through the pharynx and esophagus to the stomach
Definition
Deglutination
Term
A painful swallowing, includes pain at the back of the throat or pain along the length of the esophagus
Definition
Odynophagia
Term
Difficultry swallowing or the sensation of obstruction
Definition
Dysphagia
Term
Difficulty in the initiation of swallowing. Example is laughing while drinking and having liquid come out of nose. Symptoms include coughing, choking.
Definition
Oropharyngeal Dysphagia
Term
Caused by neuromuscular (MS, parkinsons, stroke) or anatomical defects (Zenkers diverticulum)
Definition
Oropharyngeal Dysphagia
Term
Difficulty in passage of bolus through the esophagus after ignition of swallowing. Swallowing peanut butter without water
Definition
Esophageal Dysphagia
Term
is a substernal burning sensation due to the reflux of gastric material into the esophagus
Definition
Heartburn
Term
Esophageal thrush, cottage cheese discharge in immunosuppressed patients.
Definition
Esophageal Candidiasis
Term
Diagnosis of Esophageal candidas
Definition
Endoscopy
Term
Found in HSV, CMV, and AIDS. Odynophagia, dysphagia, and restrosternal pain. Endoscopy diagnosis
Definition
Viral Esophagitis
Term
Acute persisting odynophagia. Seen in patients taking aspirin or NSAIDS without water.
Definition
Pill Esophagitis
Term
Involves daily therapy for six weeks. No treatment, but can be relieved by lidocaine swish and swallow, PPIs, or carafate.
Definition
Radiation Therapy
Term
A very common problem, symptoms include heart burn, regurgitation, chest pain, nocturnal cough, hoarseness, loss of dental enamel, frequent throat clearing, and asthma. Reflux of stomach contents into esophagus
Definition
GERD
Term
GERD most commonly involves dysfunction of what anatomical defect
Definition
LES
Term
Treatment of GERD: first step
Definition
PPI
Term
What is not the first choice of GERD
Definition
Endoscopy unless Alarming Symptoms (vomiting, anemia, wt loss, melena, dysphagia)
Term
What are some Lifestyle Modifications for GERD
Definition
1. small meals, frequent
2. Avoid acid foods
3. Avoid coffee, caffeine, chocolate, alcohol
4. wt. loss
5. avoid lying down after meal
6. avoid aspirin or nicotine
Term
Chronic reflux (>5 yrs) can result in ulceration, aspiration, peptic strictures and what esophagus disease
Definition
Barrett esophagus
Term
Pre-malignant condition characterized by metastiatic change of epithelium at astro-esophageal juction to columnar. Increased risk of adenocarcinoma
Definition
Barrett esophagus
Term
tx of Barrett's esophagus is controversal: includes what?
Definition
PPI long term
Surgical fundoplication
Ablation procedures
Term
Repeat endoscopy every_____for low grade Barrett esophagus dysplasia
Definition
3-6 mo
Term
If high grade dysplasia in Barrett esophagus, repeat endoscope every
Definition
3 mo
Term
A tight LES due to denervation. Regurgitation. Birds beak.
Definition
Acalasia
Term
Dilation, botox, and surgery are treatments for:
Definition
Acalasia
Term
Barium swallow shows corkscrew pattern, non-peristaltic contractions on manometry. Dysphage with chest pain
Definition
Diffuse Esophageal spasm
Term
Treatment includes Nifedipine/calcium channel blockers, and nitrates
Definition
Diffuse Esophageal spasm
Term
Are anatomic abnormalities associated with portal hypertension and commonly seen in alcoholic cirrhotics
Definition
Esophageal varicies
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