MSRA: Oesophageal Disease

Question 1

What are the features of achalasia?

Answer 1

Dysphagia to both solids and liquids from the start
Heartburn
Regurgitation

Question 2

What are the features of Boerhaave syndrome?

Answer 2

Vomiting
Lower chest pain
Subcut emphysema

Question 3

What is the management of upper GI bleeding due to varices?

Answer 3

Terlipressin and antibiotics before endoscopy

Band ligation

Question 4

What are the two scoring systems used in upper GI bleed?

Answer 4

Glasgow Blatchford - before endoscopy. Hb, BP and urea
Rockall score

Question 5

Which medication is used in the prophylaxis of variceal haemorrhage?

Answer 5

Propranolol

Question 6

What are the feaures of Plummer Vinson syndrome?

Answer 6

Dysphagia secondary to oesophageal webs
Glossitis
Iron deficiency anaemia

Question 7

What is the most common type of oesophageal cancer?

Answer 7

Adenocarcinoma

Question 8

What are the NICE 2ww criteria for suspected oesophageal/gastric cancer?

Answer 8

• Dysphagia
• Over 55 and weight loss with (upper abdominal pain, reflux or dyspepsia)