Go With the Flow
Causes of painless esophageal dysmotility.
What are achalasia and scleroderma?
Reflux, medications and eosinophilic esophagitis (EE).
What are non-infectious causes of esophagitis?
5 lifestyle/behavioral causes of GERD?
What are eating large meals, laying down soon after eating, wearing tight clothes, being overweight or obese, eating spicy, acidic or high-fat foods, consumption of caffeine, chocolate and alcohol, consumption of carbonated beverages, and smoking?
Treatment for Barrett's esophagus with dysplasia.
What is ablation?
When a portion of the stomach is superior to the diaphragm.
The most common motility disorder with dysphagia to both liquids and solids.
What is achalasia?
A type of esophagitis believed to be allergically mediated.
What is eosinophilic esophagitis (EE)?
5 behavioral/lifestyle modifications to treat GERD?
What are elevating the head of the bed, not eating within 3 hours of bedtime, eating small, frequent meals, increasing physical activity, losing weight, avoidance of inciting foods, and smoking cessation?
An autoimmune cause of esophageal dysmotility.
What is scleroderma?
Type of shock that can result from a Mallory Weis tear or esophageal varices.
What is hypovolemic shock?
The gold standard study for esophageal dysmotility.
What is esophageal manometry?
Avoidance of inciting foods, nhaled steroids, montelukast, and PPI.
What are treatments of eosinophilic esophagitis (EE)?
The gold standard for diagnosis of GERD.
What is 24-hour oropharyngeal pH probe monitoring?
Halitosis, dysphagia, and regurgitation.
What are symptoms of esophageal diverticula?
The gold standard for diagnosis of eosinophilic esophagitis.
What is EGD with biopsy?
Typical finding of diffuse esophageal spasm (DES) on barium esophageal.
What is corkscrew appearance of the esophagus?
The hallmark symptom of infectious esophagitis.
What is odynophagia?
Indications for esophagastoduodenoscopy (EGD or upper endoscopy) in a patient with suspected or diagnosed GERD.
What are dysphagia, odynophagia, or failure to respond to PPI therapy? Rule out cancer, infectious esophagitis, eosinophilic esophagitis and Barrett's.
A diverticulum superior to the cricopharyngeus muscle.
30-60 minutes prior to breakfast.
What is the sig for PPI medications?
Non-pharmacologic management options for diffuse esophageal spasm (DES).
What are myotomy and balloon dilation?
Finding seen on barium esophageal associated with eosinophilic esophagitis (EE).
What is a ringed esophagus?
A syndrome associated with a gastric acid secreting tumor.
What is Zollinger-Ellison syndrome?
The primary cause of most esophageal varies.
What is portal hypertension?
Osteoporosis, dementia, and gastric polyps.
What are possible long-term complications from PPI therapy?