What is Anatomy
Unlike most of the alimentary tract, the esophagus lacks THIS layer
What is a serosa
This is the best test to diagnose a motility disorder
What is Manometry
BONUS +100: What is score for GERD called and what is cutoff
This condition leads to a significant increase in the risk of developing esophageal cancer
What is Barrett/s esophagus
BONUS +100: This finding on EGD is usually protective against the development of Barretts
What you should NOT do if suspecting an esophageal leiomyoma on EGD
A Nissen Funduplication requires ____ cm of free esophagus in the abdomen and a wrap that is ____ cm in length
What is 2-3 cm
The upper esophageal sphincter is formed by this muscle and innervated by this nerve
What is Cricopharyngeus muscle and recurrent laryngeal nerve
This disorder is defined by high LES pressure, the absence of peristalsis, and autoimmune destruction of neuronal ganglion cells
What is Achalasia
This is the next step when pathology from EGD returns as Barrett's with high grade dysplasia
What is confirm with second "expert" pathologist
An important step in the repair of an esophageal perforation after dilation
What is contralateral relaxing incision/myotomy?
When there is insufficient esophageal length after dissection, a neo-esophagus can be formed using this procedure
What is Collis Gastroplasty
The most common locations of both SCC and adenocarcinoma of the esophagus
What is upper esophagus (SCC) and lower esophagus (adenoCA)
This disorder is characterized by high amplitude, repetitive, non-perstalsic waves on manometry
What is diffuse esophageal spasm
BONUS +100: First line treatment?
After esophagectomy, if unable to use the stomach as a conduit, you can consider these (2) other options as well
What is transverse colon interposition or jejunal free flap
Most common potential site for iatrogenic esophageal perforation
What is Cricopharyngeus/Killian's triangle?
BONUS +100: What is borders?
This is the main blood supply to the stomach after an esophagectomy and gastric pull-through
What is the right gastroepiploic artery
BONUS +100: Branch of?
Blood supply to the abdominal portion of the esophagus is provided by this artery
What is Left Gastric Artery
BONUS +100: What is the blood supply to each 1/3rd of the esophagoose?
This is the surgical treatment for both Nutcracker esophagus and diffuse esophageal spasm
What is long esophageal myotomy via a right thoractomy
EMR is appropriate for patients with up to THIS T stage
What is T1a
Indictions (6) for esophagectomy in secondary burns (w/ ulcerations, sloughing, exudates)
What is sepsis, peritonitis, mediastinitis, free air, PTX, large effusion
The extent (Location and distance in cm) of a Heller Myotomy for achalasia includes
What is 6cm above and 2cm below the GE junction
When performing an EGD, these are the distances from the incisor where you would find: UES Aortic Arch Diaphragmatic Hiatus
What is UES - 15 cm / AA - 25 cm / DH - 45 cm
This disease process (name it) defined by a low LES pressure and aperistalsis and results in severe reflux is surgically treated by what procedure
What is esophagectomy (Scleroderma)
Complete T staging of esophageal cancers
What is:
T1a - Muscularis mucosa
T1b - Submucosa
T2 - Muscularis propria
T3 - Adventitia
T4a - Other structures (resectable)
T4b - Other structures (non-resectable)
Surgical management of an esophageal perforation <24 hours ago includes these three steps
What is myotomy, intercostal flap, chest tube drainage (+/- debridement of devitalized tissue)
BONUS +100: What is the surgical approach for each third of the esophagus?
Approach via thoracotomy in order to perform a fundoplication
What is a Belsey/Belsey-Mark IV procedure
BONUS +100: What is degree of wrap?