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GI Esophagus-2
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32
Accounting
Kindergarten
10/10/2012

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Cards

Term
Ledge like mucosal protrusions into esophageal lumen, occur in the upper esophagus
Definition
esophageal webs
Term
Clinical signs includes dysphagia, and reflux esophagitis,
Definition
esophageal webs
Term
Dysphagia, iron anemia, glossitis, upper esohageal webs, cracks and fissures of tongue
Definition
Plummer Vinson Syndrome
Term
occur in the distal esophagus, concentric plates of tissues protruding into the lumen. Women over the age of 40 with episodic dysphagia
Definition
Esophageal Rings
Term
Esophageal ring above the squamocolumnar junction of the esophagus and stomach
Definition
A ring
Term
Esophageal ring at the squamocolumnar juction of the lower esophagus
Definition
Schatzki B ring
Term
Fibrous thickining of esophageal wall, results in scarring. From GI reflux, radiation, scleroderma, caustic injury. Progressive dysphagia is a clinical sign
Definition
Stenosis
Term
Failure to relax esophagus
Definition
Achalasia
Term
Aperistalsis
Partial or incomplete relaxation of LES with swallowing
Increased resting tone of LES
Definition
Achalasia
Term
Dysfunction of inhibitory neurons containing NO and VIP with degeneration of extrinsic or intrinsic neural innervation. Can be due to polio, surgical ablation, diabetic autonomic neuropathy
Definition
Achalasia
Term
Morphology includes dilation above LES, absent mysenteric ganglia, ulceration, fibrous thickening, inflammaiton
Definition
Achalasia
Term
Symptoms include nocturnal regurgitation, squamous cell carcinoma (5%), candida esophagitis, Diverticula, aspiration pneumo, airway obstruction
Definition
Achalasia
Term
Seen as a "birds beak tapering on a barium swallow
Definition
Achalasia
Term
outpouching of the alimentary track containing all visceral layers. All three regions
Definition
Diverticula
Term
Above UES, disordered cricopharyngeal motor dysfunction with or w/o GERD and diminished luminal size. Mass in the neck is found can cause pneumonia
Definition
Zenker's Diverticulum
Term
Can see an outpouching of the esophagus on barium swallow due to cricopharyngeus muscle
Definition
Killigan's Triangle
Term
Midpoint of the esophageus, may arise from motor dysfunction, scarring, generally asymptomatic
Definition
Traction Diverticulum
Term
Immediately above LES, occurs due to dyscoordination during swallowing mechanism and LES relaxation. Nocturnal regurgitation with fluids
Definition
Epiphrenic Diverticulum
Term
Usually seen in alcoholics because of severe retching or vomiting. Longitudinal tears in the esophagus or esophagogastic junction.
Definition
Mallory Weiss Syndrom
Term
Clinical features include UGI bleeding (supporative) and Boerhaave Syndrome
Definition
Mallory Weiss Syndrom
Term
Complication of Mallory Weiss and a medical emergency, includes esophageal rupture. Leakage into thoracic cavity.
Definition
Boerhaave Syndrome
Term
Collaterals develop in the region of the LES when portal blood flow is diverted through the coronary veins of the stomach into the plexus of the esophageal subepithelial and submucosal veins producing dilated tortuous vesicles
Definition
Esophageal Varices
Term
Develop in 90% of cirrhotic patients and second cause is hepatic schistosomiasis. Patients asymptomatic until ruptured
Definition
Esophageal Varices
Term
Most important risk factor for esophageal adenocarcinoma
Definition
Barrett Esophagitis
Term
Caused by Hiatal Hernia, hypothyroid, pregnancy, smoke, alcohol, decreased LES tone, gastric emptying
Definition
GERD
Term
Endoscopic evidence of columnar epithelial lining of esophagus, and histology of intestinal metaplasia on biopsy needed for diagnosis
Definition
GERD
Term
BAD taste, pneumonitis, heartburn, asthma in 40 year old
Definition
GERD
Term
Most common type of carcinoma of esophagus. Adults over 50, men. From alcohol and tobacco use. Most are proturding>excavated>flat
Definition
Squamous cell carcinoma
Term
Malignant epithelial tumor with glandular differentiation. Majority causes from Barrett Mucosa
Definition
Adenocarcinoma
Term
Risk factors include tobacco, obesity, inverse relationship with H. pylori. Men. Poor prognosis
Definition
Adenocarcinoma
Term
Early stage: flat raised patches
Late stage: large infiltrative, nodular masses. Tumor produces mucin
Definition
Adenocarcinoma
Term
p53, p16INK4, with amplification of Cyclin D1, c-myc, and EGFR
Definition
Adenocarcinoma
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