oesophageal cancer Flashcards

1
Q

most common type of oesophageal cancer?

A

adenocarcinoma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

what is the other type of oesophageal cancer?

A

squamous

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

risk factors for squamous carcinoma in the oesophagus>

A

males, vitamin A/zinc deficiency, smoking, alcohol, HPV, oesophagitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

corkscrew appearance on barium swallow?

A

diffuse oesophageal spasm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

risk factors in general for oesophageal cancer?

A
smoking
alcohol
GORD
Barrett's oesophagus
achalasia
Plummer-Vinson syndrome
squamous cell carcinoma is also linked to diets rich in nitrosamines
rare: coeliac disease, scleroderma
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Zollinger Ellison syndrome?

A

gastrin secreting tumour – overproduction of gastric acid – recurrent peptic ulcers

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

what has a bird beak appearance on barium swallow?

A

achalasia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

treatment of achalasia?

A

hellers cardiomyotomy or balloon dilatation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

why would you do a contrast swallow?

A

to classify benign motility disorders

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

treatment of oesophageal cancer

A

oesophagectomy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

what is the pattern of dysphagia in oesophageal cancer?

A

Progressive dysphagia with weight loss

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

If dysplasia of any grade is identified endoscopic intervention is offered. Options include?

A

endoscopic mucosal resection

radio frequency ablation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

large volumes of dark red blood?

A

oesophageal varices

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

what are oesophageal varies a result of?

A

liver disease

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

what will there usually be signs of when you get oesophgeal varices?

A

portal hypertension

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

small bleed of bright red blood – may often follow NSAID intake or a bout of stress. There will be a history of dyspepsia?

A

erosive gastritis

17
Q

management of oesophageal varies?

A

b blocker (propranolol) to lower venous pressure
band them if they’re about to bleed
in acute setting, you can use a minnessota tube