GI 1F- Esophagus and Deglutition Flashcards

1
Q

The esophagus connects the _____ to the _____

A

pharynx to the stomach

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2
Q

Where does the esophagus begin

A

in the neck at the pharyngoesophageal junction (C5-6 vertebral interspace at the inferior border of the cricoid cartilage)

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3
Q

The esophagus has what type of epithelium

A

non-keratinized stratified squamous

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4
Q

Esophageal submucosa includes what structures involved in lubrication

A

esophageal glands

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5
Q

What layer is not found in the esophagus that is found in the GI tract?

A

serosal outer layer

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6
Q

What includes especially large venous space?

A

submucosal vascular plexus

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7
Q

Where does the mid and lower esophagus, and submucosal venous plexus drain?

A

Collaterals of the left gastric vein, a branch of the portal vein

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8
Q

submucosal venous spaces, along with all other “draining” veins of the mid to lower esophagus may enlarge to form____

A

esophageal varices

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9
Q

What causes an increased risk of esophageal varices rupture?

A

portal hypertension usually due to cirrhosis

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10
Q

What does deglutition mean?

A

swallowing

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11
Q

What does a dentist call his x-rays?

A

Tooth- Pics

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12
Q

What are the three phases of swallowing?

A
  1. Oral or voluntary
  2. pharyngeal
  3. esophageal
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13
Q

Oral phase

A

Voluntary action of collecting the oral contents on the tongue and propelling them backward to the pharynx

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14
Q

Pharyngeal phase

A

Wave of involuntary contraction in the pharyngeal muscles that pushes the material into the esophagus as the upper esophageal sphincter relaxes and opens

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15
Q

Esophageal

A

Food enters the esophagus and peristalsis takes over

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16
Q

Achalasia

A

lower esophageal sphincter fail to relax; food that has been swallowed has difficulty passing into the stomach, and the esophagus above the LES becomes enlarged

17
Q

The reflux of acidic gastric contents into the esophagus because closing strength of LES has been diminished

A

GERD (gastroesophageal reflux disease)

18
Q

symptoms of GERD

A

heartburn and esophagitis

19
Q

Research indicates there is a strong correlation between GERD and ______

A

esophageal adenocarcinoma

20
Q

Barrett’s esophagus

A

characterized by metaplastic change of squamous mucosa to columnar epithelium

21
Q

Dysphagia

A

difficulty swallowing

22
Q

odynophagia

A

painful swallowing