Fluoro For Upper Gi

Question 1

Gord?

Answer 1

Superficial lacerations from reflux of stomach contents to distal oesophagus, strictures + hiatus hernia

Question 2

BArrats oesophagus?

Answer 2

Precursor to oesophageal ca.
Damage to squamous cells → columnar epithelium - damage to mucosa, fibrotic healing
Line of density across oesoph.

Question 3

Oesophageal carcinoma

Answer 3

Dysphagia
Dismal prog.
Mainly squamous cell carcinoma - or adenocarcinoma directly linked to barratts
Flat plaque regions with central ulceration - 1 wall

Question 4

’ Hiatus hernia

Answer 4

Sliding. 90 %
Rolling,
Hiatus abnormally widened normal upper limit is 15mm

Incidental on barium meal

Question 5

Achalasia is…?

Answer 5

Functional obstructed of the distal oesophagus
Bird beak
Sphincter neuronal abnormality

Question 6

Zenckers diverticulum is?

Answer 6

Posterior upper oesoph.
Can occlude lumen
Barium swallow can demonstrate at cs-c6

Question 7

Oesophageal varices are?

Answer 7

Dilated veins is wall of oesoph _ increased pressure-in portal venous system
Link to cirrhosis.
Barium swallow not sensitive _ 50% - refer to ct!
Multiple diffuse rounded, oval filling defects demonstrated

Question 8

Pud is?

Answer 8

Erosive concave crater in stomach - pitting fills with baso4
Convex polyp-type too
Barium → endoscopy - but Ct 1st choice to assess acute abdo pain

Question 9

Gastric Adeno carcinoma is?

Answer 9

• Most common gastric malignancy - pyloric, lesser curvature, cardia
  Barium meal - endoscopy- most sensitive and specific, Ct - all used