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Gastrointestinal tractEsophagusDysphagia (difficulty in swallowing):- diseases that narrow or obstruct the lumen Pain and Hematemesis:- inflammation or ulceration of the esophageal mucosaHeartburn (retrosternal burning pain):- regurgitation of gastric contents Most frequent GI complaint - gas"
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1. Gastrointestinal Tract
2. Gastrointestinal tract
Esophagus
Dysphagia (difficulty in swallowing):- diseases that narrow or obstruct the lumen
Pain and Hematemesis:- inflammation or ulceration of the esophageal mucosa
Heartburn (retrosternal burning pain):- regurgitation of gastric contents
Most frequent GI complaint - gas.
Inflammation (acute or chronic itis) & ulcers
Sinuses blind tubes
Fistulas tunnels
Perforation hollow viscous open up into hollow cavity ( usually peritoneal cavity)
Herniation can be internal or external
Bleeding (MC anemia of GI bleeding -IDA)
Tumors
3. Esophagus
Structures :
UES (upper esophageal sphincter)
made up of skeletal muscle Cricopharyngeus muscle
Involved in scleroderma or systemic sclerosis
LES (lower esophageal sphincter) opens into the stomach
gastro-esophageal junction ( 3 cm ), if >3cm is called as ?
transitional zone which is columnar
1.Congenital anomalies : produce choking on breast feeding
Atresia (noncanalized segment)
Fistulas (Connection/opening between esophagus and trachea)
several types
Webs (produce dysphagia to solids)
Webs - Plummer-Vinson / Paterson-Kelly syndrome( post cricoid web, IDA, Glossitis, cheilosis in perimenopausal female, Risk of postcricoid Squamous cell carcinoma )
4. Fistulae