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| ==DD== | | ==DD== |
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| ===GERD===
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| Retrosternal burning chest pain.
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| Cough and hoarseness of voice.
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| May present with complications such as strictures and dysphagia.
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| <br>
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| Upper GI endoscopy shows the complications such as esophagitis and barret esophagus.
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| Esophageal manometry may show decreased tone of the lower esophageal sphincter.
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| 24-hour esophageal pH monitoring may be done to confirm the diagnosis.
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| ===Esophageal Cancer===
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| *[[Dysphagia]]
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| *[[Odynophagia]]- fluids and soft foods are usually tolerated, while hard or bulky substances (such as bread or meat) cause much more difficulty
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| *[[Weight loss]]
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| *[[Pain and nociception|Pain]], often of a burning nature, may be severe and worsened by swallowing, and can be spasmodic in character
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| *[[Nausea]] and [[vomiting]]
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| <br>
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| Upper GI endoscopy and bioEsophageal biopsy the gold standard for the diagnosis of esophageal
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| ==Nutcracker esophagus== | | ==Nutcracker esophagus== |
Revision as of 12:34, 1 November 2017
DD
Nutcracker esophagus
- Retrosternal chest pain that presents with or without food.
- The condition is not progressive and not causing complications.
Barium swallow shows the characteristic corckscrew appearance of the esophagus.
Esophageal stricture
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Manifestations
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Diagnostic tools
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GERD
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- Retrosternal burning chest pain.
- Cough and hoarseness of voice.
- May present with complications such as strictures and dysphagia.
|
- Upper GI endoscopy shows the complications such as esophagitis and barret esophagus.
- Esophageal manometry may show decreased tone of the lower esophageal sphincter.
- 24-hour esophageal pH monitoring may be done to confirm the diagnosis.
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Esophageal carcinoma
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- Dysphagia
- Odynophagia- fluids and soft foods are usually tolerated, while hard or bulky substances (such as bread or meat) cause much more difficulty
- Weight loss
- Pain, often of a burning nature, may be severe and worsened by swallowing, and can be spasmodic in character
- Nausea and vomiting
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- Upper GI endoscopy and esophageal biopsy the gold standard for the diagnosis of esophageal
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Corckscrew esophagus
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- Retrosternal chest pain that presents with or without food intake.
- The condition is not progressive and not causing complications.
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- Barium swallow shows the characteristic corckscrew appearance of the esophagus.
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Esophageal stricture
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- Patient may present with the symptoms of the underlying GERD.
- Dysphagia and odynophagia.
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- Barium esophagography provides information about the site and the diameter of the stricture before the endoscopic intervention.
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