Esophagus

Question 1

esophagus contains no…

Answer 1

serosa

only mucosa, submucosa, and muscle

Question 2

best diagnostic test for esophagus

Answer 2

endoscopy

Question 3

esophageal atresia

Answer 3

esophagus fails to develop

Question 4

esophageal fistula

Answer 4

connection b/w trachea and esophagus

Question 5

how to treat esophageal spasms

Answer 5

nitro

CCBs

Question 6

achalasia presents with dysphagia to….

Answer 6

solid and liquids, abnormal LES

• birds beak xray
• absence of peristalsis

Question 7

how to treat achalsia

Answer 7

• CCB
• botulism
• pneumatic dilation
• myotomy/fundoplication

Question 8

pt regurgitates undigested food….

Answer 8

zenkers diverticulum

treat via Myotomy of cricopharyngeus muscle

Question 9

how does mallory weiss present?

Answer 9

acute upper GI bleed from severe vomiting

Question 10

MC type of hiatal hernia?

Answer 10

sliding

The stomach with GE junction slide through Hiatus into thorax

Question 11

MCC GERD

Answer 11

defective LES

Question 12

how to treat GERD?

Answer 12

• lifestyle changes
• PPI/H2
• Nissen fundoplication*****

Question 13

Barretts

Answer 13

replacement of squamous cells w/columnar cells, may lead to adenocarcinoma
“goblet cells”

Question 14

MCC of perforation

Answer 14

history of recent instrumentation aka iatrogenic

Question 15

most severe caustic injury is from

Answer 15

alkalis, liquefaction necrosis

Question 16

coagulation necrosis is from

Answer 16

acid

Question 17

two types of esophagectomy

Answer 17

Transhiatal-Laparotomy and cervical incisions, complete thoracic esophagectomy with reconstruction via stomach or colon. Lower leak rate

Ivor Lewis-Right thoracotomy and laparotomy. Reconstruction via stomach or colon. Higher leak rate