13 Esophageal Disorders
GERD



basal zone: near basement membrane
eosinophil in mucosal layer

life style
scleroderma: collagen deposit

worse at night when laying down
new asthma (also watch out for Churg Strauss)

babies can't complain

peppermint classic trigger
surgery: nissen fundoplication. Portion of stomach wrapped around lower esophagus


ulcer healed = fibrous tissue, obstruct lumen = dysphagia

basic substances
Barrett's



diagnosis by endoscopy
Esophageal Cancer


obesity: fatty tissue pushing stomach up and acid up

unique symptoms: hoarse voice and cough

Esophagitis

candida: esp immunocompromised
Eosinophilic

present with dysphagia: difficulty swallowing
Achalasia


both solids and liquids instead of just solids (tumor, partial obstruction)
risk for scc

Varices

painless
Mallory Weiss

mucosa
vomit blood with epigastric pain
BoerHaave

crepitus when press on skin in neck
Webs

ring: circumferential protrusion
web: not circumferential

Plummer Vinson

Zenker's

not true diverticulum
chronic exposure of mucosa to high pressure to force food down leads to zenker's


cricopharyngeus encircling esophagus
thyropharyngeus slanting

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