Dysphagia Flashcards
Main functional cause of dysphagia?
achalasia
What is achalasia?
sphincter cannot relax
Diagnosis of achalasia?
upper gi endoscopy
barium swallow
What is the bird beak sign?
dilated oesophagus = bird body
sphincter = bird beak
What can be a complication of achalasia?
aspiration pneumonia
Signs of achalasia?
bad breath
weight loss
Treatment of achalasia?
dilatation through endoscopy
may need surgery to cut sphincter
top 2/3 of oesophagus, what is cancer type?
squamous
bottom 1/3 of oesophagus, what is cancer type?
columnar/adenocarcinoma
Barrett’s oesophagus?
adenocarcinoma in top 2/3 (change from squamous to columnar)
SCC treatment?
radiotherapy
Adenocarcinoma treatment?
surgery and chemo
Prognosis for oesophageal cancer?
poor
3 types of hiatus hernia?
sliding
strangulation
combined