Achalasia, Allergic oesophagitis, Acute oesophagitis

Question 1

Allergic oesophagitis: aetiology

Answer 1

Hx of allergy
Asthma
Males
Young

Question 2

Allergic oesophagitis: histology

Answer 2

Raised eosinophils
Spotty oesophagus
Oesophageal rings (looks like trachea)

Question 3

Allergic oesophagitis: clinical presentation

Answer 3

Dysphagia
Food impaction
GORD like symptoms

Question 4

Allergic oesophagitis: management

Answer 4

Steroids

Chromoglycate

Question 5

Acute oesophagitis: causes

Answer 5

Chemical ingestion

Infection

Question 6

Achalasia: definition

Answer 6

Spasm of LOS
LOS fails to open
Incomplete relaxation of LOS

Question 7

Achalasia: clinical presentation

Answer 7

Dysphagia (to solids then liquids)

Column of food in oesophagus

Question 8

Achalasia: investigations

Answer 8

Barium swallow - birds beak appearance

Manometry - shows absence of peristalsis

Question 9

Achalasia: management

Answer 9

Heller’s cardiomyotomy

Endoscopic balloon dilation of LOS