13 Esophageal Disorders
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GERD
![](https://photos.thisispiggy.com/file/wikiFiles/73B416D8-3876-4EDB-9CE8-AB7FACE8964C.jpg)
![](https://photos.thisispiggy.com/file/wikiFiles/12B676F8-F006-4F28-8C1D-D25490763B66.jpg)
![](https://photos.thisispiggy.com/file/wikiFiles/0B64CA0D-AD5B-4EC8-86C5-BD6463463237.jpg)
- basal zone: near basement membrane
- eosinophil in mucosal layer
![](https://photos.thisispiggy.com/file/wikiFiles/E5BB2E38-F703-4756-A478-197FF26F3181.jpg)
- life style
- scleroderma: collagen deposit
![](https://photos.thisispiggy.com/file/wikiFiles/9E3453D2-AF22-4515-BF03-9794706F3D17.jpg)
- worse at night when laying down
- new asthma (also watch out for Churg Strauss)
![](https://photos.thisispiggy.com/file/wikiFiles/9A217A75-699B-4537-9454-762CDA3457B3.jpg)
![](https://photos.thisispiggy.com/file/wikiFiles/5105B3AB-381E-4F1E-9919-2A5F8DC8A2D4.jpg)
- peppermint classic trigger
- surgery: nissen fundoplication. Portion of stomach wrapped around lower esophagus
![](https://photos.thisispiggy.com/file/wikiFiles/D49E3064-35DD-4931-BCB5-ADCCD7D923AE.jpg)
![](https://photos.thisispiggy.com/file/wikiFiles/EA467107-568F-4810-88FA-CAAED56E9758.jpg)
- ulcer healed = fibrous tissue, obstruct lumen = dysphagia
![](https://photos.thisispiggy.com/file/wikiFiles/74DCCF13-CBFD-449B-AD1D-EC2FDCBD5FEA.jpg)
Barrett's
![](https://photos.thisispiggy.com/file/wikiFiles/BB12C7C2-6154-48B1-97B6-4C1939E13B51.jpg)
![](https://photos.thisispiggy.com/file/wikiFiles/99F94E4E-CA9D-462D-A86F-8051D6605E9F.jpg)
![](https://photos.thisispiggy.com/file/wikiFiles/DD61A4D0-BFD7-431A-AE2B-DC001D5B5E4F.jpg)
Esophageal Cancer
![](https://photos.thisispiggy.com/file/wikiFiles/081B4066-A548-4E8B-9335-848DB4EA9E57.jpg)
![](https://photos.thisispiggy.com/file/wikiFiles/613DADD4-9FF0-477E-B663-8FBB7AC5C116.jpg)
- obesity: fatty tissue pushing stomach up and acid up
![](https://photos.thisispiggy.com/file/wikiFiles/624D598E-A155-4F12-9BA0-D9656C93EA27.jpg)
- unique symptoms: hoarse voice and cough
![](https://photos.thisispiggy.com/file/wikiFiles/F13BA482-C01C-4BDF-AB72-33A325F629E5.jpg)
Esophagitis
![](https://photos.thisispiggy.com/file/wikiFiles/7DB36949-8CDF-4672-AF99-763F50B868AE.jpg)
- candida: esp immunocompromised
Eosinophilic
![](https://photos.thisispiggy.com/file/wikiFiles/A1F1417F-CC8B-4166-B6DB-3E9B6A435BA1.jpg)
- present with dysphagia: difficulty swallowing
Achalasia
![](https://photos.thisispiggy.com/file/wikiFiles/5D1AB079-3DF4-4B0A-815D-8C77F7FAE457.jpg)
![](https://photos.thisispiggy.com/file/wikiFiles/023E1D84-B7C8-47AD-A90C-4EDA12E3AE12.jpg)
- both solids and liquids instead of just solids (tumor, partial obstruction)
- risk for scc
![](https://photos.thisispiggy.com/file/wikiFiles/764C9BE4-85A3-47C8-B10E-3D284A2EDDED.jpg)
Varices
![](https://photos.thisispiggy.com/file/wikiFiles/484B5782-4789-4A85-BB59-FDA57709B73F.jpg)
Mallory Weiss
![](https://photos.thisispiggy.com/file/wikiFiles/00D725CA-A3E3-4BD3-A307-25B41C612920.jpg)
- mucosa
- vomit blood with epigastric pain
BoerHaave
![](https://photos.thisispiggy.com/file/wikiFiles/ACEEF041-127C-4C5A-95D3-D2C59E9903BA.jpg)
- crepitus when press on skin in neck
Webs
![](https://photos.thisispiggy.com/file/wikiFiles/9A3533CE-6D99-4CEA-8FEB-DCE1D2103004.jpg)
- ring: circumferential protrusion
- web: not circumferential
![](https://photos.thisispiggy.com/file/wikiFiles/30EE69D0-0BC9-4B69-9705-8E524EB412AC.jpg)
Plummer Vinson
![](https://photos.thisispiggy.com/file/wikiFiles/19A3EF44-36F0-4631-AB20-20CE12B6CCEC.jpg)
Zenker's
![](https://photos.thisispiggy.com/file/wikiFiles/C7CCE215-12A5-4C68-BE1F-17BDD5B86051.jpg)
- not true diverticulum
- chronic exposure of mucosa to high pressure to force food down leads to zenker's
![](https://photos.thisispiggy.com/file/wikiFiles/C6347B1F-2C43-441E-BC51-6CFE6030EEB1.jpg)
![](https://photos.thisispiggy.com/file/wikiFiles/6818E3D1-128B-4E15-A1AC-8E175195B6ED.jpg)
- cricopharyngeus encircling esophagus
- thyropharyngeus slanting
![](https://photos.thisispiggy.com/file/wikiFiles/B11A1C06-0067-4289-A01D-0AE931F51C3D.jpg)
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