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Oesophageal Disease Motility Notes

Medicine Notes > Gastrointestinal Disease Notes

This is an extract of our Oesophageal Disease Motility document, which we sell as part of our Gastrointestinal Disease Notes collection written by the top tier of University Of Leicester students.

The following is a more accessble 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 o Middle 1/3 of oesophagus o Risk factors = smoking, alcohol, achalasia, coeliac disease
- Adenocarcinoma o Lower 1/3 oesophagus and cardia of stomach o 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 o 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 palliation

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