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Medicine Notes Gastrointestinal Disease Notes

Oesophageal Disease Motility Notes

Updated Oesophageal Disease Motility Notes

Gastrointestinal Disease Notes

Gastrointestinal Disease

Approximately 27 pages

Complete set of notes on gastrointestinal diseases. Includes aetiology, presentation, investigation and management. Colour-coded including tables, diagrams and images for visual learners. SImple and succinct. Ideal for clinical finals....

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The following is a more accessible plain text extract of the PDF sample above, taken from our Gastrointestinal Disease Notes. Due to the challenges of extracting text from PDFs, it will have odd formatting:

Oesophageal disease

Benign oesophageal strictures

Most common cause = GORD causing peptic stricture

Other causes

  • Ingestion of corrosives

  • Radiotherapy

  • Variceal sclerosis

  • Prolonged nasogastric tube insertion

Main symptom = dysphagia

Usually treated by dilatation

Surgery if necessary

Oesophageal Tumours

  • Squamous cell carcinoma

    • Middle 1/3 of oesophagus

    • Risk factors = smoking, alcohol, achalasia, coeliac disease

  • Adenocarcinoma

    • Lower 1/3 oesophagus and cardia of stomach

    • Risk factors = Barrett’s, GORD, smoking, obesity

Clinical features

  • Dysphagia (progressive and unrelenting)

  • Weight loss + anaemia

  • Aspiration and coughing

Investigations

  • Endoscopy

  • Barium swallow

  • TNM staging

    • CT/MRI – local invasion, lymph node involvement

Management

  • MDT

  • Surgery (best chance of cure – but only if not spread outside oesophageal wall) (Ivor Lewis Oesophagectomy)

  • Palliative radiotherapy

  • Neoadjuvant chemotherapy

  • Dilatation and stent for...

Buy the full version of these notes or essay plans and more in our Gastrointestinal Disease Notes.

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