Anatomy
Another term for swallowing
Deglutition
_____ is a mucosal abnormality present in 15% of the population and characterized by a fibrous, diaphragm-like stricture near the gastroesophageal junction
Schatzki ring
What organism is the most common cause of Infectious Esophagitis?
Candida albicans
What oral pharmacologic therapy can be used to treat Achalasia?
Nitrates OR
Calcium channel blockers
What percentage of pediatric patients with esophageal foreign body impaction are asymptomatic at the time of presentation?
*Price is Right rules, everyone gets to answer*
What are the 2 types of dysphagia?
Oropharyngeal and Esophageal
At least 40% of patients with this condition has dysphagia, and it is the presenting symptom in up to 15% of patients.
Myasthenia gravis
This condition is characterized by increased levels of gastrin resulting in Peptic Ulcer Disease
Zollinger-Ellison Syndrome
CT scan is the preferred initial imaging modality over radiographs for this commonly ingested food foreign body.
Fish bones
Rosen's: "Based on lack of evidence and potential risks, we do not recommend using _____ in the management of esophageal foreign bodies."
Glucagon
The location of the majority iatrogenic injuries resulting in esophageal rupture
Pharyngoesophageal junction
This NSAID has the highest relative risk of GI complications
Indomethacin
What are the 3 physiologic processes that can lead to Gastroesophageal Reflux Disease?
#1 Decreased LES pressure
#2 Decreased esophageal motility
#3 Increased gastric emptying time
The American Society for Gastrointestinal Endoscopy recommends food boluses causing incomplete obstruction be removed within what time frame?
24 hours
Where did I complete my residency AND fellowship?
Residency ➔ Baystate Medical Center
Fellowship ➔ ChristianaCare Health
What are the 2 fixed points of the stomach?
#1 Esophagocardiac junction
#2 Pylorus
Name 5 intrinsic motor disorders of the esophagus that can cause esophageal dysphagia
Achalasia
Diffuse esophageal spasm
Nutcracker esophagus
Hypertensive lower esophageal sphincter
Scleroderma
CREST Syndrome
Chagas disease
Paraneoplastic syndrome
Name 7 causes of esophageal perforation
Coughing
Heavy lifting
Vomiting
Childbirth
Foreign body ingestion
Caustic ingestion
Endoscopy
NG tube placement
Intubation
Severe esophagitis
Carcinoma
Blunt/Penetrating trauma
Spontaneous
What is the standard of care for iatrogenic esophageal perforation container within the neck?
Conservative management
_____ increases the risk of gastric carcinoma and gastric lymphoma
Helicobacter pylori
Piriform recesses
What is dysphagia lusoria?
Difficulty swallowing due to an aberrant right subclavian artery compressing the esophagus
Patients with recurrent esophageal food impactions should receive GI referral for evaluation of _____
Eosinophilic esophagitis
What is Mackler's triad?
#1 Subcutaneous emphysema
#2 Chest pain
#3 Vomiting
Pathognomonic for spontaneous esophageal rupture
This 2016 film starring Dev Patel tells the story of a young boy who gets lost on a train, only to find his way back home 25 years later using Google Earth.
Lion