Achalasia of the Esophagus Quiz

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Which radiographic sign is characteristic of achalasia of the esophagus?

Uniform dilatation of the esophagus with an air–fluid level present

What is the most common cause of esophageal perforation?

Instrumentation of the esophagus during endoscopy

What is the primary abnormality in achalasia of the esophagus?

Absence of peristalsis in the body of the esophagus

What is a common radiographic finding in achalasia of the esophagus?

<p>Tapered “beak” deformity at the lower esophagus</p> Signup and view all the answers

What is the most common cause of esophagitis?

<p>Gastroesophageal reflux disease (GERD)</p> Signup and view all the answers

What is the purpose of upper endoscopy (EGD) in diagnosing esophagitis?

<p>To visualize the lining of the esophagus</p> Signup and view all the answers

What is the purpose of sedation during upper endoscopy?

<p>To relax the patient and make them sleepy</p> Signup and view all the answers

What type of findings are typical in endoscopic diagnosis of esophagitis?

<p>Circular rings, linear furrows, whitish papules</p> Signup and view all the answers

What can be observed in moderate to severe reflux esophagitis through barium X-ray?

<p>Ulceration, erosions, longitudinal fold thickening</p> Signup and view all the answers

Study Notes

Achalasia of the Esophagus and Related Conditions

  • Achalasia of the esophagus is characterized by absence of peristalsis and LES spasm, resulting in failure of esophageal emptying.
  • Radiographic signs of achalasia include uniform esophageal dilatation, tapered "beak" deformity at the LES, esophagitis findings, increased incidence of epiphrenic diverticula, and esophageal carcinoma.
  • Esophageal perforation is often caused by esophageal instrumentation during procedures such as endoscopy, dilation of esophageal stricture, foreign body removal, or esophageal endoprosthesis application.
  • Esophagitis, commonly caused by gastroesophageal reflux disease (GERD), is a prevalent condition with various causes.
  • Upper endoscopy, also known as esophagus-gastric-duodenoscopy (EGD), allows visualization of the esophageal lining using a flexible endoscope while the patient is sedated.
  • Typical endoscopic findings of esophagitis include circular rings, linear furrows, whitish papules, and strictures.
  • Biopsy involves the removal of a small esophageal tissue sample for microscopic examination.
  • Barium X-ray imaging captures esophageal conditions after the patient ingests a barium solution, revealing ulceration, erosions, longitudinal fold thickening, and peptic stricture formation in moderate to severe reflux esophagitis.

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