Achalasia of the Esophagus Quiz
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Questions and Answers

Which radiographic sign is characteristic of achalasia of the esophagus?

  • Uniform dilatation of the esophagus with an air–fluid level present (correct)
  • Tapered “beak” deformity at the upper esophagus
  • Presence of esophagitis including ulceration
  • Presence of peristalsis in the body of the esophagus
  • What is the most common cause of esophageal perforation?

  • Chronic gastroesophageal reflux disease (GERD)
  • Ingestion of acidic substances
  • Instrumentation of the esophagus during endoscopy (correct)
  • Consumption of hot or spicy foods
  • What is the primary abnormality in achalasia of the esophagus?

  • Excessive peristalsis in the body of the esophagus
  • Tapered “beak” deformity at the lower esophagus
  • Absence of peristalsis in the body of the esophagus (correct)
  • Presence of esophageal diverticula
  • 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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    Description

    Test your knowledge of achalasia of the esophagus with this quiz. Identify radiographic signs, symptoms, and management of this condition characterized by absence of peristalsis and LES spasm.

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