Oesophagus and Stomach

Question 1

Eosinophilic Oesophagitis presentation

Answer 1

Paed: Failure to thrive, refuse food
Adoles: Chest/eigastric pain and vomiting
Adult: Dysphagia, food bolus obstruction, heartburn, chest pain

Question 2

Ix of oesophagitis

Answer 2

Endoscopy: Diminished vascular pattern.
Mucosal furrows.
Thick mucosa.
Exudates.
Strictures.
Rings - as in image below.
Laryngeal oedema, vocal cord nodules, laryngeal ventricular obliteration.

Question 3

Tx of oesophagitis

Answer 3

Elemental diet: Amino acid based for 6 week
Topical steroids (Fluticasone MDI)
Hydrostatic balloon dilatation or guided wire bougie dilatation