1. Virtual Hospital: University Of Iowa Family Practice Handbook, Fourth Edition: G Gastroenterology And Hepatology esophageal diseases. Jatinder This is a common presenting complaint of many esophageal diseases. Esophageal http://www.vh.org/adult/provider/familymedicine/FPHandbook/Chapter05/03-5.html

For Providers University of Iowa Family Practice Handbook, Fourth Edition, Chapter 5 Gastroenterology And Hepatology: Esophageal Diseases Jatinder P. S. Ahluwalia, MD, Mark A. Graber, MD, and William B. Silverman, MD Division of Gastroenterlogy and Hepatology and Departments of Internal Medicine, Family Medicine, and Emergency Medicine University of Iowa Hospitals and Clinics and College of Medicine Peer Review Status: Externally Peer Reviewed by Mosby Dysphagia is the sensation of difficulty swallowing and feeling as though food is getting stuck in the esophagus. This is a common presenting complaint of many esophageal diseases. Esophageal disease may also present as "cardiac-like" chest pain Consider infectious esophagitis (e.g., candida, Herpes simplex) in the appropriate setting. Always consider esophageal malignancy when dysphagia is present. See also specific disease entities below. Esophageal Foreign Bodies Clinically presents as inability to swallow, including the inability to swallow saliva; everything is regurgitated. Usually occurs after eating a large bolus of meat.

2. Diagnosis & Treatment Of Esophageal Diseases Associated With HIV Infection - Phy ACG Treatment Guideline Diagnosis Treatment of esophageal diseases Associated with HIV Infection is a review of the management of esophageal disease in those with HIV infection. http://www.acg.gi.org/physicianforum/guides/hiv.html

Site Map Abstracts ONLINE! Publications Practice Guidelines ... Medical Links Douglas T. Dieterich, M.D., FACG, C. Mel Wilcox, M.D., FACG and the Practice Parameters Committee of the American College of Gastroenterology American Journal of Gastroenterology, Vol. 91, No. 11, 1996 Abstract According to the Centers for Disease Control, the number of HIV-infected individuals in the U.S. ranges from 0.8 to 3 million. the World Health Organization estimates that as many as 40 million people worldwide may be infected by the year 2000, if the pandemic continues unabated. The health care costs associated with HIV in the U.S. alone are projected at $15 billion in 1995. The enormity of the problem and the importance of efficient, accurate diagnosis are clear. It is vital that we strive for prompt delivery of effective therapy. This guideline is a review of the management of esophageal disease in those with HIV infection. Background The esophagus may be the site of the first AIDS-defining opportunistic infection in a significant number of patient. At some point in their HIV disease, at least one third of patients will suffer from esophageal disease. This number may be understated considering the prevalence of oropharyngeal candidiasis in the HIV-infected population. Opportunistic infection of the esophagus is also a predictor of poor survival.

3. Postgraduate Medicine: Esophageal Diseases Symposium Introduction esophageal diseases. A threearticle symposium. Symposium coordinator. VOL 105 / NO 7 / JUNE 1999 / POSTGRADUATE MEDICINE. esophageal diseases Commentary on a three-article symposium by Joseph A. Murray, MD http://www.postgradmed.com/issues/1999/06_99/symp_int.htm

Esophageal diseases A three-article symposium Symposium coordinator Joseph A. Murray, MD Associate Professor of Medicine Gastroenterology, and Hepatology Mayo Medical School Rochester, Minnesota VOL 105 / NO 7 / JUNE 1999 / POSTGRADUATE MEDICINE ESOPHAGEAL DISEASES : Commentary on a three-article symposium by Joseph A. Murray, MD PRACTICAL POINTERS FOR GRAPPLING WITH GERD : Heartburn gnaws at quality of life for many patients by Lawrence A. Szarka, MD, Giles R. Locke, MD ESOPHAGEAL CANCER AND BARRETT'S ESOPHAGUS : How to approach surveillance, treatment, and palliation by Wael Shahin, MBBS, Joseph A. Murray, MD WHEN IT'S HARD TO SWALLOW : What to look for in patients with dysphagia by Victor R. Mujica, MD, Jeffrey Conklin, MD The esophagus is a humble organ that consists of a hollow muscular tube bounded at both ends by sphincters. It has two relatively simple functions: It is a conduit for food and liquids, and it provides a barrier that protects the airway from reflux of damaging gastric contents. Despite its relative simplicity of structure and function, the esophagus gives rise to a surprisingly diverse collection of disorders, ranging from mild, uncomplicated heartburn to devastating esophageal cancer. The organ is relatively inaccessible, being tucked away in the posterior mediastinum behind the heart. Its proximity to the heart and its shared visceral enervation have given the esophagus the sometimes undeserved blame for so-called noncardiac chest pain.

4. Postgraduate Medicine: Esophageal Diseases Symposium: When It's Hard To Swallow This is the third of three articles on esophageal diseases. This page is best viewed with a browser that esophageal diseases Commentary on a threearticle symposium by Joseph A http://www.postgradmed.com/issues/1999/06_99/mujica.htm

When it's hard to swallow What to look for in patients with dysphagia Victor R. Mujica, MD; Jeffrey Conklin, MD VOL 105 / NO 7 / JUNE 1999 / POSTGRADUATE MEDICINE CME learning objectives To review oropharyngeal and esophageal anatomy and physiologic components of normal swallowing To summarize important information to seek during history taking and physical examination for dysphagia To describe diagnostic studies and their most appropriate uses in assessing dysphagia This is the third of three articles on esophageal diseases This page is best viewed with a browser that supports tables Preview : Sometimes the remark "I find that hard to swallow" is not a wisecrack reflecting disbelief but rather a statement of fact. A wide variety of causes, from an obstructive foreign body to a cerebrovascular accident, can disrupt the complicated processes that make up a swallow. In this article, the authors describe the many symptoms and other factors (eg, onset, progression, exacerbating conditions) that can provide clues to the cause of dysphagia. They also discuss useful diagnostic studies and how to choose among them on the basis of findings during history taking. D ysphagia (from the Greek dys

5. Digestive System Diseases Alagille Syndrome Anus Diseases - Appendicitis - Appendicitis - Barrett Esophagus Esophageal Achalasia - Esophageal Atresia - Esophageal Atresia - esophageal diseases http://www.mic.ki.se/Diseases/C06.html

search search staff sitemap ABOUT KAROLINSKA INSTITUTET ... print this page Diseases and Disorders Links pertaining to Digestive System Diseases Alert! Patients and laypersons looking for guidance among the target sources of this collection of links are strongly advised to review the information retrieved with their professional health care provider. Start Page Contents: Adenomatous Polyposis Coli Adenomatous Polyposis Coli Adenomatous Polyposis Coli Adenomatous Polyposis Coli ... Zollinger-Ellison Syndrome Digestive System Diseases Brief overview of the Digestive System [DR Johnson] - University of Leeds (UK) Pathophysiology of the Digestive System - Colorado State University (US) A collection of Patient Pamphlets from Three Rivers Endoscopy C. (US) Documents on Digestive Diseases for patients - NIDDK (US) A set of Practice Parameters from the American Society of Colon and Rectal Surgeons Open for Discussion , a problem based learning program by Reynolds et al. - Univ of Calgary (CA) Notes on Cyber Gastroenterology [JA Murra Saca] Atlas Endoscopy of Digestive Disease [F Sulbaran] - (VE) Atlas of Gastroenterological Endoscopy [A Freytag] - (DE) Patient Information Resources in Gastroenterology - American Gastroenterological Association A warning about Colon cleansing - MayoClinic About Electrogastrography including the Anatomy of the Stomach - Univ. of Alberta (CA)

6. Virtual Hospital: GI Atlas: Gastrointestinal Imaging: CT Findings In Esophageal GI Endoscopy Atlas Gatstrointestinal Imaging. CT Findings in esophageal diseases. Klaus Bielefeldt, MD, Ph.D. William Silverman, MD Piush Gupta, MD http://www.vh.org/adult/provider/internalmedicine/GIAtlas/giimaging/ctfindings/

For Providers GI Endoscopy Atlas: Gatstrointestinal Imaging CT Findings in Esophageal Diseases Klaus Bielefeldt, M.D., Ph.D. William Silverman, M.D. Piush Gupta, M.D. Peer Review Status: Internally Peer Reviewed Creation Date: May 1998 Last Revision Date: February 2002 In healthy individuals, the esophagus can be seen as a small structure in the posterior mediastinum ( figure 1 ). It normally collapses, although traces of enteric contrast may allow the identification of the lumen ( figure 2 ). An air or contrast filled, dilated esophagus suggests distal obstruction ( figure 3 ). This may be due to neoplasms ( figure 4 figure 5 ), motility disorders ( figure 6 ) or extraluminal structures, such as lymph nodes ( figure 7 CT scans play an important role in the staging of esophageal malignancies. Cancer may lead to symmetrical wall thickening of the esophageal wall ( figure 8 ). In earlier stages, the primary focus may be seen as polypoid structure or partial wall thickening ( figure 9 ). The main indication for CT scanning is the detection of regional lymph node or distant metastases (

7. ClinicalTrials.gov - Information On Clinical Trials And Human Research Studies: Digestive System Diseases esophageal diseases. Include trials that are no longer recruiting Conditions stage II esophageal cancer; stage III esophageal cancer; squamous cell http://clinicaltrials.gov/ct/screen/BrowseAny?path=/browse/by-condition/hier/BC0

8. HONselect - Esophageal Diseases esophageal diseases. MeSH Narrow term(s) Browse New search. MEDLINE s articles for esophageal diseases , English - French - German - Spanish - Portuguese. http://www.hon.ch/HONselect/Selection/C06.306.html

All Web sites HONcode sites HONselect News ... Images HONselect Search English French German Spanish Portuguese the word the part of word in MeSH term in MeSH term and description Contents on "Esophageal Diseases": MeSH hierarchy and definition Research Articles Web resources Medical Images Medical News Medical Conferences Clinical Trials MeSH Hierarchy English French German Spanish Portuguese MeSH Broader term(s) Diseases Digestive System Diseases Esophageal Diseases MeSH Narrow term(s) Diverticulum, Esophageal Esophageal Fistula Esophageal Motility Disorders Esophageal Perforation Esophagitis Hernia, Diaphragmatic Barrett Esophagus Esophageal and Gastric Varices Esophageal Atresia Esophageal Cyst Esophageal Neoplasms Esophageal Stenosis Accepted term(s) -Disease, Esophageal -Diseases, Esophageal -Esophageal Disease Cross Reference(s): Esophageal Atresia Browse New search MEDLINE 's articles for " Esophageal Diseases English French German Spanish Portuguese All categories Selection by study category Refinement by recall or precision All recent articles Therapy Diagnosis Etiology Prognosis Therapy by recall Diagnosis by recall Etiology by recall Prognosis by recall Therapy by precision Diagnosis by precision Etiology by precision Prognosis by precision Browse New search Web resources for " Esophageal Diseases English French German info: enter the site: (click below) domain of the site: Chest X-Ray www.meddean.luc.edu

9. HONselect - Digestive System Diseases Digestive System Neoplasms, Diverticulum. esophageal diseases, Gastrointestinal Diseases. Liver Diseases, Pancreatic Diseases. Peritoneal Diseases. http://www.hon.ch/HONselect/Selection/C06.html

All Web sites HONcode sites HONselect News ... Images HONselect Search English French German Spanish Portuguese the word the part of word in MeSH term in MeSH term and description Contents on "Digestive System Diseases": MeSH hierarchy and definition Research Articles Web resources Medical Images Medical News Medical Conferences Clinical Trials MeSH Hierarchy English French German Spanish Portuguese MeSH Broader term(s) Diseases Digestive System Diseases MeSH Narrow term(s) Abdominal Pain Biliary Tract Diseases Digestive System Abnormalities Digestive System Fistula Digestive System Neoplasms Diverticulum Esophageal Diseases Gastrointestinal Diseases Liver Diseases Pancreatic Diseases Peritoneal Diseases Accepted term(s) -Digestive System Disease -Disease, Digestive System -Diseases, Digestive System -System Disease, Digestive Browse New search MEDLINE 's articles for " Digestive System Diseases English French German Spanish Portuguese All categories Selection by study category Refinement by recall or precision All recent articles Therapy Diagnosis Etiology Prognosis Therapy by recall Diagnosis by recall Etiology by recall Prognosis by recall Therapy by precision Diagnosis by precision Etiology by precision Prognosis by precision Browse New search Web resources for " Digestive System Diseases English French info: enter the site: (click below) domain of the site: Digestive System Diseases www.mic.ki.se

10. GASTROINTESTINAL DISEASES surgery is on the decline in the US Esophagoscopy is used extensively for diagnosis and there is effective medical treatment for many esophageal diseases (eg. http://edcenter.med.cornell.edu/CUMC_PathNotes/Gastrointestinal/Gastrointestinal

GASTROINTESTINAL DISEASES Thomas A. Godwin, M.D. Department of Pathology New York Hospital Queens tagodwin@mail.med.cornell.edu DISEASES OF THE ESOPHAGUS Organ of transport, by peristalsis Upper Esophageal Sphincter (UES) is an actual muscular sphincter. Upper 1/3 of the esophagus has skeletal muscle, while the distal 2/3 has smooth muscle. Lower Esophageal Sphincter (LES) is a zone of resting high pressure in the distal esophagus, approximately 20 mm Hg above gastric baseline. Peristalsis, the progression of a pressure wave through the body of the esophagus, can be measured by esophageal manometry. It has a normal velocity and amplitude. Thus, simultaneous or multiphasic esophageal contractions are not peristaltic. A single wave of peristalsis doesn't have to clear the esophagus. A second wave come through to clear anything remaining. Normal Swallow Begins with relaxation of UES, allowing food into the upper esophagus. Peristaltic waves push the food down to the LES, which relaxes to gastric baseline, allowing food into the stomach. Coordination of swallowing in the upper 1/3 of the esophagus occurs centrally while in the lower 2/3 it is coordinated by local nerve plexuses.

11. PharmGKB Esophageal Diseases esophageal diseases. Alternate Names Disease, Esophageal; Diseases, Esophageal; Esophageal Disease http://www.pharmgkb.org/do/serve?objId=PA444098&objCls=Disease

12. Re: Esophageal Spasms? The Gastroenterology and Liver Diseases Forum ask the doctor medical forum for patients hosted by Med Help Intl. contractions of the esophageal muscle (diffuse esophageal spasm, nutcracker esophagus, hypertensive lower for cardiac or esophageal diseases though diseases of these organ http://www.medhelp.org/perl6/gastro/archive/2400.html

Questions in The Gastroenterology Forum are currently being answered by Kevin Pho M.D., who is board certified in Internal Medicine and is also affiliated with an academic medical center. Subject: Re: esophageal spasms? Forum: The Gastroenterology and Liver Diseases Forum Topic Area: Digestive Posted by HFHSM.D.-jg on August 22, 1998 at 07:54:29: In Reply to: esophageal spasms? posted by Debbie on August 17, 1998 at 21:02:26: : Two years ago I had my gall bladder removed. Since then I have had chest pains that start in the morning and sometimes last all day.I have had all the cardiac tests ,everything is normal.I went to a Gastro dr.and had many tests done including the manometry test. Tests showed everything normal.The doctor told me I had delayed gastric emptying.I really think I have esophageal spasms and that the day of the test, I was having a good day, no spasms.The doctor put me on Prilosec and propulsid for awhile. : there was no relief. He then tried amitriptyline, working up to 50 mg. per day. I still had the chest pains just maybe not as often.I finally went off that medication this summer and the pains are still bad.Is this a chronic problem that I have to live with or is there some other medication I can try?After 2 years of this, I am so sick of feeling bad.I feel fine everywhere else except for the chest pains. I can feel them all the way up to my lips, jaw and throat. It hurts right in the center of my chest, between my breasts. Thanks. Dear Debbie: Gastrointestinal causes of chest pain include 1) inflammation of the lining of the esophagus (due to infection or acid reflux); 2) abnormal contractions of the esophageal muscle (diffuse esophageal spasm, nutcracker esophagus, hypertensive lower esophageal sphincter, non-specific esophageal dysmotility and achalasia); 3) gastritis or gastric ulcer, 4) gastroparesis (impaired emptying of the stomach, 5) gall bladder disease, and 6) pancreatitis. Based on your history, previous surgery and extensive testing all of these conditions appear to have been excluded. You should recognize however, that no test is infallible. Sometimes, selective reinvestigation may provide a diagnosis of a GI cause for chest pains.

13. Atlas Of Esophageal Diseases Atlas of esophageal diseases This new edition provides an 11chapter visual panorama of the esophagus in both health and disease. Atlas of esophageal diseases. Roy C. Orlando, MD, editor; Mark Feldman, MD, series editor Atlas of esophageal diseases, 2nd Edition. Format Atlas http://www.arsmedica.com/cu/cu-9113.html

Atlas of Esophageal Diseases Roy C. Orlando, MD, editor; Mark Feldman, MD, series editor Current Medicine Inc Otolaryngology This new edition provides an 11-chapter visual panorama of the esophagus in both health and disease. Over 600 detailed images covering the most relevant aspects of the esophagus are included. Table of Contents Atlas of Esophageal Diseases, 2nd Edition Format Atlas ISBN Roy C Orlando MD editor Mark Feldman MD series editor Atlas Esophageal Diseases email ramex.com Keyword Title Author ISBN ISSN Number Advanced Search Search By Publisher Search By Specialty Search By Media Your Cart is Empty Home About Help Contact ... © 2002 RAmEx Ars Medica, Inc.

14. LookSmart - Directory - Esophageal Diseases And Conditions esophageal diseases and Conditions Explore these disorders of the esophagus. Find out the causes, prevention strategies and treatments. http://search.looksmart.com/p/browse/us1/us317837/us317920/us53948/us89771/us709

@import url(/css/us/style.css); @import url(/css/us/searchResult1.css); Home IN the directory this category YOU ARE HERE Home Personal Health Digestive Disorders Esophageal Diseases and Conditions - Explore these disorders of the esophagus. Find out the causes, prevention strategies and treatments. Directory Categories Achalasia Barrett Esophagus Esophageal and Gastric Varices Esophageal Atresia ... Plummer-Vinson Syndrome Directory Listings About Cancer.gov - Esophageal Cancer Treatment Information National Cancer Institute provides an overview of this condition, including details on different stages and treatments available for each stage. Gastroesophageal Reflux Educational resources on gastroesophageal reflux disease for the general public. With lists of health care providers. Peptic Ulcer Disease Information sheet providing information on causes, diagnosis, treatment, and relapse prevention. Seattle Barrett's Esophagus Program Profile includes medical and plain english definitions, related publications, resources, and an introduction to the research team. We're always looking for ways to improve your search experience.

15. Esophageal Diseases esophageal diseases. esophageal diseases. Longitudinal muscle in esophageal disease. The esophageal diseases / diagnosis. Guidelines http://omni.ac.uk/browse/mesh/C0014852L0014852.html

low graphics Esophageal Diseases Esophageal Diseases Esophageal Diseases / diagnosis broader: Digestive System Diseases other: Abdominal Pain Biliary Tract Diseases Diverticulum Esophageal Atresia ... Pancreatic Diseases narrower: Barrett Esophagus Esophageal Atresia Esophageal Neoplasms Esophageal Perforation ... Hernia, Diaphragmatic Esophageal Diseases Longitudinal muscle in esophageal disease The text, without illustrations, of a detailed monograph on the longitudinal muscle and its effect on the functioning of the oesophagus written by O. Arthur Stiennon. Topics covered include hiatus hernia, longitudinal muscle contraction, lower oesophageal ring, Mallory-Weiss syndrome and the sphincter. The original printed edition was published by WRS Press in 1994, and is retained for its relevance. Can also be downloaded in PDF which requires Adobe Acrobat Reader. Esophagus Esophageal Diseases Esophageal Diseases / diagnosis Guidelines for oesophageal manometry and pH monitoring Practice guidelines for oesophageal manometry and pH monitoring in the assessment of patients with disorders of oesophageal function, dated 1996. An introduction is available in HTML, with the full document in PDF format (requiring Adobe Acrobat Reader software). Published by The British Society of Gastroenterology. Practice Guideline [Publication Type] Manometry Hydrogen-Ion Concentration Gastroesophageal Reflux ... Esophageal Diseases / diagnosis Last modified: 27 May 2004

16. WSAVA 2001 - Diagnosis And Management Of Feline Esophageal Disease Clinical signs of esophagitis are similar to other esophageal diseases, including dysphagia, regurgitation, odynophagia, repeated swallowing, and excessive http://www.vin.com/VINDBPub/SearchPB/Proceedings/PR05000/PR00115.htm

Diagnosis and Management of Feline Esophageal Disease Bob Sherding United States Clinical manifestations of esophageal disease include regurgitation, dysphagia, odynophagia (pain on swallowing), ptyalism, and exaggerated swallowing. Regurgitation is the passive expulsion of food or fluid from the esophagus and is influenced by mechanical events in the esophagus. Regurgitation must be distinguished from vomiting, a centrally mediated reflex in which the expelled material originates from the stomach (and duodenum). In contrast to regurgitation, vomiting is preceded by hypersalivation, retching, and abdominal contractions. Anorexia, cough, dyspnea, and fever may be seen with secondary aspiration pneumonia, esophageal perforation, or bronchoesophageal fistula. The diagnosis of esophageal disease is usually established by the clinical history and the results of barium contrast radiography, and/or endoscopy of the esophagus. The esophagus is not normally seen on survey radiographs, but may be visualized when it contains gas, fluid, food, or foreign material. Thoracic radiographs also may demonstrate complications of esophageal disease, especially aspiration pneumonia. Barium sulfate paste (Esophotrast) dosed as 5–10 ml boluses is used for esophageal contrast studies. If perforation is suspected, iohexol (Omnipaque), a water-soluble non-ionic iodinated contrast agent, should be used instead, as it is less irritating to periesophageal tissues and more readily reabsorbed. Barium mixed with canned food may be preferable when a motility disorder or a stricture is suspected. In the distal one-third of the normal feline esophagus, prominent transverse folds form a distinctive herringbone mucosal pattern.

17. G.I. Page University of Cape Town; esophageal diseases Virtual Hospital; Foreign Bodies Management of esophageal and gastric foreign bodies. ASGE. http://www.geocities.com/HotSprings/2255/geeeye.html

Gastrointestinal case studies and teaching files from various resources. They are intended for use by health care professionals. Teaching files Bowel Tumors. Tumors of the large and small bowel. Univ. of Penn. AIDS related Diarrhea Aids related Diarrhea: Pathogenesis, evaluation, and treatment. ASGE. Acute Diarrhea Virtual Hospital Anorectal Diseases Virtual Hospital Chronic Diarrhea Virtual Hospital Irritable Bowel Syndrome Virtual Hospital Current Medical Therapy for Inflammatory Bowel Disease Newer agents used in inflammatory disease (mesalamine, newer steroids, and immunosuppressive therapy). Southern Medical Association. Ulcerative Colitis Virtual Hospital Crohn's Disease (Regional Enteritis, Granulomatous Colitis) Virtual Hospital Colorectal Tumors Virtual Hospital Colorectal Carcinoma Online notes. Colorectal Carcinoma. Colorectal Polyps Management of patients with colorectal polyps. ASGE Constipation and Fecal Impaction Virtual Hospital Diverticular Disease Virtual Hospital Dysphagia Dyspgagia. ASGE. Enteroviruses Medical virology. University of Cape Town Esophageal Diseases Virtual Hospital Foreign Bodies Management of esophageal and gastric foreign bodies. ASGE.

18. Chapter 5 - Section 4: First Principles Of Gastroenterology 4. Symptoms and Signs of esophageal diseases, page 94. 4.1 Symptoms. 4.1.1 DYSPHAGIA, 4.1.7 BLEEDING, This may be a symptom of certain esophageal diseases. http://gastroresource.com/GITextbook/En/Chapter5/5-4.htm

- Select a chapter - 1. Symptoms and Signs 2. Nutrition 3. Ethics 4. Research/Clinical Trials 5. Esophagus 6. Stomach and Duodenum 7. Small Intestine 8. Intestinal Ischemia 9. H.I.V. 10. Inflammatory Bowel 11. Colon 12. Pancreas 13. Biliary System 14. Liver 15. Paediatrics 16. Video Endoscopic Images Search Chapter 5: Esophagus Sections: 1. Introduction 2. Anatomy 3. Physiology 4. Symptoms and Signs of Esophageal Disease ... Acknowledgement 4. Symptoms and Signs of Esophageal Diseases page 94 4.1 Symptoms 4.1.1 DYSPHAGIA The history can also be used to help differentiate structural from functional (i.e., motility disorders) causes of dysphagia. Dysphagia that is episodic and occurs with both liquids and solids from the outset suggests a motor disorder, whereas when the dysphagia is initially for solids such as meat and bread, and then progresses with time to semisolids and liquids, one should suspect a structural cause (e.g., stricture). If such a progression is rapid and associated with significant weight loss, a malignant stricture is suspected. Associated symptoms help determine the etiology of dysphagia. For instance, a reflux-induced stricture should be suspected if the dysphagia is associated with heartburn or regurgitation, esophageal cancer if there is associated mid-back pain and weight loss, a motor disorder such as diffuse esophageal spasm if there is angina-like chest pain, and a "scleroderma esophagus" if there is arthralgia, skin changes or Raynaud's phenomenon.

19. Gastroenterology Chapter 5 Symptoms And Signs Of Esophageal Diseases 4. Symptoms and Signs of esophageal diseases, page 94. 4.1 Symptoms. 4.1.1 DYSPHAGIA, 4.1.7 BLEEDING, This may be a symptom of certain esophageal diseases. http://gastroresource.com/GITextbook/en/chapter5/5-4-pr.htm

4. Symptoms and Signs of Esophageal Diseases page 94 4.1 Symptoms 4.1.1 DYSPHAGIA The history can also be used to help differentiate structural from functional (i.e., motility disorders) causes of dysphagia. Dysphagia that is episodic and occurs with both liquids and solids from the outset suggests a motor disorder, whereas when the dysphagia is initially for solids such as meat and bread, and then progresses with time to semisolids and liquids, one should suspect a structural cause (e.g., stricture). If such a progression is rapid and associated with significant weight loss, a malignant stricture is suspected. Associated symptoms help determine the etiology of dysphagia. For instance, a reflux-induced stricture should be suspected if the dysphagia is associated with heartburn or regurgitation, esophageal cancer if there is associated mid-back pain and weight loss, a motor disorder such as diffuse esophageal spasm if there is angina-like chest pain, and a "scleroderma esophagus" if there is arthralgia, skin changes or Raynaud's phenomenon. 4.1.2 ODYNOPHAGIA

20. MedWebPlus Subject Diseases And Conditions Esophageal Diseases http://medwebplus.com/subject/Diseases_and_Conditions/Esophageal_Diseases

Main About MWP Contribute to MWP Contact Us A service of Flexis, Inc. Welcome to MedWebPlus 2.3! A free service to help you find health sciences information quickly and easily. Diseases and Conditions Esophageal Diseases Broader Terms: Digestive System Diseases Related Terms: Gastrointestinal Diseases Liver Diseases Pancreatic Diseases Narrower Terms: Esophageal Neoplasms Focussed Subsets: Enzymology Periodicals therapy Web Sites: Entry GO BrighamRAD Teaching Case Database Barrett's Esophagus by David I. Rose, Harry Z. Mellins. July 1, 1996 GO Diseases of the esophagus (tables of contents) Flexis, Inc. Privacy statement Powered by y-Base

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