Oesophagus

Question 1

Plummer Vinson Syndrome triad

Answer 1

• dysphagia
• iron deficiency
• oesophageal web

Question 2

Siewert classification

Answer 2

Type 1 - 5-1cm GOJ
Type 2 - 1-2cm (true GOJ)
Type 3 - 2-5cm

Question 3

Achalasia treatments and efficacy

Answer 3

Botox - 85% initially, 30% 1 year
Dilation - 15-60% 10 years but with serial dilation
- 13% after first dilation 6% perforation
Hellers - 80-100% 5 years 75% 15 years
- complications 5%