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GI > 2 - Esophageal Disorders > Flashcards

2 - Esophageal Disorders Flashcards

1
Q

If you repeat the EGD for evaluation of BE and the results are unclear what should you do?

A
  • double dose PPI and repeat EGD in 3-6 months
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2
Q

What is the criteria for screening for Barrett’s Esophagus?

A
  • > 5 years GERD symptoms or weekly symptoms + 2 of the following:
  • White males >50 yo
  • Stomach obesity
  • Smoking history
  • Family history
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3
Q

What 3 medications are the most frequent causes of pill esophagitis?

A
  • Tetracycline
  • Multivitamins
  • NSAIDs
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4
Q

This type of infectious esophagitis is most commonly seen in cancer patients with neutropenia.

a. HSV
b. Candidiasis
c. CMV
d. Bacterial
e. HPV

A

d. Bacterial

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5
Q

This type of diverticuli is commonly caused by traction from lung disease (TB).

A
  • Midesophageal diverticuli
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6
Q

If Eosinophilic Esophagitis is not responsive to PPI what is the next treatment of choice?

A

steroids

Fluticasone, Budesonide, or PO predisone

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7
Q

What is the first line treatment for esophageal spasm?

A
  • Nitrates
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8
Q

This type of diverticuli is often associated with achalasia.

A
  • Epiphrenic diverticuli
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9
Q

Secondary Achalasia is associated with what type of cancer?

A
  • lung cancer

* Anti-Hu (Antineuronal AB)

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10
Q

A “bird beak” appearance on esophagram is common in this disorder

A
  • Achalasia
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11
Q

Barrett’s Esophagus occurs in what % of patients with GERD diagnosis?

A

10-15%

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12
Q

Rings and Webs usually don’t become symptomatic until the lumen is constricted to this size.

A

< 13 mm

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13
Q

A patient presents with dysphagia, halitosis and regurgitation. What type of diverticuli are you concerned for?

A
  • Zenker’s Diverticuli
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14
Q

What is the treatment for an actively bleeding esophageal varices if we are unable to control bleeding.

A
  • Transjugular intrahepatic portosystemic shunt (TIPS)
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15
Q

Peptic Strictures is primarily caused by what?

A

long standing gastric reflux

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16
Q

What is the treatment for infectious esophagitis d/t CMV?

A
  • IV Gancyclovir
17
Q

> 90% of patients with Barrett’s Esophagus dies from what?

A
  • other causes NOT esophageal cancer
18
Q

In this type of infectious esophagitis you may see ulcerations on EGD.

a. HSV
b. Candidiasis
c. CMV
d. Bacterial
e. HPV

A

c. CMV

19
Q

What is the difference between Mallory Weiss Tears and Boerhaave’s syndrome?

A
  • Boerhaave’s syndrome is a full thickness esophageal rupture
20
Q

What is a Schatzki’s ring?

A
  • Single ring at GE junction that is < 13 mm in diameter
21
Q

This type of esophagitis is most commonly seen in children.

A

Eosinophilic Esophagitis

*localized allergic reaction

22
Q

What is the primary treatment for achalasia?

A
  • Botox

* Dilation also an option (90% relief with 3rd dilation)

23
Q

What is Achalasia?

A
  • gastric motility disorder d/t hypertensive LES with incomplete relaxation
24
Q

How are peptic strictures treated?

A
  • balloon dilation via EGD
25
Q

A “cork-screw” like appearance on esophagram is consistent with this condition.

A
  • Esophageal spasm
26
Q

A biopsy with ____ eosinophils/HPF is necessary to diagnose Eosinophilic esophagitis.

A

> 15

27
Q

What is the treatment for button battery ingestion if it is in this location:

a. esophagus
b. stomach
c. intestines

A

a. esophagus = immediate removal
b. stomach = wait 72 hr see if it passes before EGD
c. intestines = should pass within 7 days if not surgery?

28
Q

A patient presents with thrush, odynophagia and dysphagia. What type of infectious esophagitis are you concerned for?

a. HSV
b. Candidiasis
c. CMV
d. Bacterial
e. HPV

A

b. Candidiasis

29
Q

Severe odynophagia is associated with what type of infectious esophagitis?

a. HSV
b. Candidiasis
c. CMV
d. Bacterial
e. HPV

A

a. HSV

30
Q

What % of patients who have esophageal varices has a Childs-Pughs score of C?

A

85%

31
Q

What is the treatment for esophageal candidiasis if mild vs severe?

A
  • mild = nystatin

- severe = fluconazole, Ampho B

32
Q

What are Mallory Weiss Tears?

A
  • mucosal tear of the esophagus d/t forceful vomiting
33
Q

What is the procedure of choice for low or high grade BE?

A
  • Endoscopic ablation

* also effective for T1a adenocarcinoma

34
Q

Patient’s with Barrett’s Esophagus almost always have this second condition.

A
  • Hiatal hernia
35
Q

What is the classic sign of Mallory Weiss Tears?

A
  • hematemesis

GI (6 decks)

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