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Questions and Answers
Which radiographic sign is characteristic of achalasia of the esophagus?
Which radiographic sign is characteristic of achalasia of the esophagus?
What is the most common cause of esophageal perforation?
What is the most common cause of esophageal perforation?
What is the primary abnormality in achalasia of the esophagus?
What is the primary abnormality in achalasia of the esophagus?
What is a common radiographic finding in achalasia of the esophagus?
What is a common radiographic finding in achalasia of the esophagus?
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What is the most common cause of esophagitis?
What is the most common cause of esophagitis?
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What is the purpose of upper endoscopy (EGD) in diagnosing esophagitis?
What is the purpose of upper endoscopy (EGD) in diagnosing esophagitis?
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What is the purpose of sedation during upper endoscopy?
What is the purpose of sedation during upper endoscopy?
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What type of findings are typical in endoscopic diagnosis of esophagitis?
What type of findings are typical in endoscopic diagnosis of esophagitis?
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What can be observed in moderate to severe reflux esophagitis through barium X-ray?
What can be observed in moderate to severe reflux esophagitis through barium X-ray?
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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.