Term
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Definition
| What is the epithelium change in Barret's Esophagus |
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Term
| GERD----->Barret's Esophageus |
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Definition
| Case Study: 55 year old man comes in complaining of burning in the chest. Pain radiates to his neck. Sometimes awakes him from his sleep. Difficulty swallowing solid foods. Symptoms are getting worse over several years. What do they have? |
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Term
|
Definition
| Where is Barretts esophagus found? |
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Term
|
Definition
| What is the cancer associated with Barretts |
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Term
|
Definition
| Survival rate of Barretts? |
|
|
Term
Advanced age
Male
White
Reflux issues
Obesity |
|
Definition
| Risk factors of Barrets (5) |
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Term
|
Definition
| retrosternal burning, usually regurgitation of gastic contents into LES: |
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Term
|
Definition
| Decreased efficacy of esophageal anti-reflux mechanism, particularly of LES tone |
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Term
LES tone problem
Sliding Hiatal Hernia
Slowed clearance of reflexed material
Delayed gastric emptying
Reduction of repair capacity of mucosa |
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Definition
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|
Term
Barretts with no symptoms - yearly
Barretts with ALARM symptoms - EVERY six months |
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Definition
| When to Endoscope in Barretts? |
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Term
Dysphage odonyophagia
weight loss
early satiety
anemia
new onset
Male >45 |
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Definition
| ALARM symptoms of Barretts (6) |
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|
Term
| Four quadrant biopsy; specimens obtained every 2cm along the extent of the esophagus |
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Definition
|
|
Term
| Single erosion above esophageal jxn |
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Definition
|
|
Term
| Multiple, non circumferential erosions above esophageal jxn |
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Definition
|
|
Term
| Circumferential erosion covered by hemorrhagic and pseudomembranous exudate |
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Definition
|
|
Term
| chronic change with esophageal ulceration and associated structure barretts metaplasia |
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Definition
|
|
Term
| Barretts esophagus with histologically confirmed intestinal differentiation with columnar epithelium |
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Definition
|
|
Term
1. histological evidence of interstinal metaplasia
2. Columnar epithelial lines above GEJ |
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Definition
| What two criteria are needed to diagnose barretts |
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Term
|
Definition
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|
Term
| Hoarsness, aspiration pneumonia, non cardiac chest pain, bleeding |
|
Definition
| extaesophageal symptoms of GERD |
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|
Term
Anemia
Weight loss
worsening dysphagia
GI bleed
Persistent vomiting
Palpable mass |
|
Definition
| Endoscopy indications? (6) |
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