Pathology of esophagas Flashcards
what is web, size, and shape
its idiopathic and its 2-4 thick and semi circumferential
symptoms of web and the dominant gender
dysphagia of solid food -women 40>
if web and iron deficiency happen what the disease called
PVS and it’s associated with increased risk for SSC in the oral cavity, hypopharynx, and esophagus
What is Schatzki’s ring ?
Circumferential ring in lower esophagus above or near GE junction.
Schaztzki ring vs web in size?
Schaztzki ring
What are Schaztzki ring A and B
If its above GE junction its A (covered by squamous mucosa ) B ring are located near GE junction (have gastric cardia type mucosa )
Define Achalasia, characterized by a triad of?
swallowing disorder - incomplete relaxation of LES with swallowing - increase the resting tone of LES - a peristalsis of the esophagus
What is primary achalasia?
distal inhibitory neuronal degeneration in the myenteric plexus which cause impaired relaxation
What is secondary achalasia?
May arise in Malignancy, amyloidosis,sarcoidosis, Chagas disease
Pathology of achalasia ?
progressive dilation of the esophagus
achalasia sequelae
carcinoma - epiphanic diverticulum - aspiration pneumonitis
Definition of hiatal hernia, its incidence rate , type , complication
proximal stomach extending above diaphragmatic - very common - sliding 95% , 5%para esophageal - heartburn
Longitudinal tear in mucosa near GE junction what disease is this ?
LACERATIONS
CAUSES OF LACERATIONS
PROLONGED RETCHING OR VOMITING WITH FAILURE OF EG RELAXATION , ALCOHOL
Complication of LACERATIONS
hemorrhage - ulceration - rupture of the esophagus(Boerhaave’s syndrome) - mediastinitis
