Barrett Esophagus Overview
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Questions and Answers

What are the most frequently reported symptoms of chronic GERD?

  • Coughing and wheezing
  • Heartburn and dysphagia (correct)
  • Nausea and vomiting
  • Abdominal pain and bloating

Which of the following is NOT a complication of GERD?

  • Eosinophilic esophagitis (correct)
  • Stricture
  • Bleeding
  • Ulceration

What distinguishes eosinophilic esophagitis from GERD in terms of gross morphology?

  • Rings in the upper and mid portions of the esophagus (correct)
  • Presence of bleeding in the esophagus
  • Strictures along the esophagus
  • Gastric contents in the esophagus

What is the cardinal histologic feature of eosinophilic esophagitis?

<p>Epithelial infiltration by eosinophils (B)</p> Signup and view all the answers

What defines Barrett's Esophagus?

<p>Intestinal metaplasia within the esophageal squamous mucosa (B)</p> Signup and view all the answers

What is the typical age range at which Barrett esophagus is most commonly present?

<p>40-60 years (C)</p> Signup and view all the answers

In what age group is GERD most common, as mentioned in the text?

<p>Elderly individuals (C)</p> Signup and view all the answers

Which gender is most affected by Barrett esophagus?

<p>Males (D)</p> Signup and view all the answers

What is the defining feature of intestinal metaplasia in Barrett esophagus?

<p>Presence of goblet cells with staining properties (B)</p> Signup and view all the answers

Which characteristic can be seen endoscopically in Barrett esophagus?

<p>Velvety mucosa extending upward from the gastroesophageal junction (D)</p> Signup and view all the answers

What is the greatest concern associated with Barrett esophagus?

<p>Increased risk for esophageal adenocarcinoma (C)</p> Signup and view all the answers

Which microscopic feature may be detected in Barrett esophagus that indicates preinvasive lesions?

<p>Low-grade or high-grade dysplasia (C)</p> Signup and view all the answers

In esophageal adenocarcinoma, early lesions may appear as what type of patches?

<p>Flat or raised patches (D)</p> Signup and view all the answers

What is the typical location for esophageal adenocarcinoma to occur?

<p>Distal third of the esophagus (B)</p> Signup and view all the answers

Which risk factor is typically associated with the development of esophageal adenocarcinoma?

<p>Barrett esophagus (B)</p> Signup and view all the answers

Which of the following symptoms is most commonly associated with patients presenting with esophageal adenocarcinoma?

<p>Difficulty in swallowing (D)</p> Signup and view all the answers

What is a common feature found adjacent to esophageal adenocarcinoma?

<p>Barrett esophagus (C)</p> Signup and view all the answers

In esophageal tumors, which of the following is a benign mesenchymal tumor type?

<p>Leiomyomas (C)</p> Signup and view all the answers

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