Digested MP3s

GIT

Diseaes of the osphagus

upper esophgeal sphincter digestion or absorption

last inch lower esophgeal sphincter crico pharyngus
" high tone lower part of the esophgus
esoghagus chest negative pressure chest esophagus
intra intra abdominal last inch of esophagus relaxed
Lower part of the chest Positive abdominal pressure
gastro esophageal high pressure already tone esopghagus
reflux
lower part stratified squamous epitheliun esophagus
metaplasia columnar gastro esophageal junction
columnar

mainly nitric oxide

lower esophageal sphincter
relaxtion

Larynx epiglottis naso pharynx soft palate

contracted crico pharygeus muslce relaxed esophagus
lower esophageal stomach esophagus pharynx
\sphincter

hiatus hernia hiatus hernia esophageal hernia Hernia

sliding hernia diaphragm defect
intra abdominal

sliding
sliding lower esophageal sphincter
tone sphincter intrathoracic
gastro esophageal reflux

1

GIT

Digested MP3s

para esophageal
fundus stomach diaphragm
fundus stomach Lower esophageal sphincter

ttt
esophageal hernia reflux
heart burn reflux ..............
tone lower esophageal sphincter

prokinetics
reflux
H2 blocker proton pump inhibtor see later
Fundo Plication

para esophageal fundus stomach

Para esophageal esophageal hernia
para esophageal fundus of the stomach chest
mediastinal syngdrome

iam joking (:
fundus of the stomach
diaphragm muscular strangulation
cut blood supply
viscous stomach gangarene strangulated
emergency

2

GIT

Digested MP3s

achalsia Problem
lower esophageal sphincter ) ( esophagus
peristalsis

plexus nitric oxide nitric oxide
relaxation of the sphincter injury Lower esophageal sphincter
spastic

intermittent dysphagia
dysphagia fluids solids

esophagus
aspiration

esophagus aspiration
achalsia cancer esophagus reflux
aspiration pnumonia right basal
on examination bronchial breathing
scapula right basal
semi sitting


) (

lung abscess suppurative lung disease
GIT
infection sore throat vincent angina

3

GIT

Digested MP3s

weight loss
young female dysphagia Collagen disease
achalsia intermittent long duration
Investigation
air Left copula of the diaphragm
air
barium esophagus dilated parrot peak appearance
dilated
atony in muscles sphincter
Narrowing in the lower part of the esophagus regular and smooth
benign cancer esophagus
chest pain
abnormal esophageal contraction rather than persistsis persistalsis
esogphaus contractions abnormal chest pain
Achalsia chest pain chest pain
achalsia Organic functional tone

resistance mass
manometery Lower esophageal sphincter
:::
ballon dilation

common used



4

GIT

Digested MP3s

Cancer esophagus Problem
old male prgessive dysphagia cancer oesphagus
dysphagia short duration

cancer solid duration
cancer esophagus weight loss
predisposing factors
1-smoking
Old male heavy smoker dysphagia
dysphagia
mediastinal syndrome bronchogenic


-2
squamous cells plammer
reflux
stratified squamous Lower part of the esophagus
starified squamous columnar parrot esophagus
precancer
c/p
dysphagia solids short duration cancer
weight loss

barium rat tail apperance Mass infiltration dye

ct scan mediastinum


5

GIT

Digested MP3s

localized to esophagus

Cancer esophagus Late

Paliative chemotherapy esophagus .....
... stent

)gastro esophgaeal reflux disease (GERD
common lower esophageal sphincter tone lost
stomach esophagus
esophagus motility stomach motiltiy
sphincter hiatus hernia
intra abdominal
pressure reflux lower esophageal sphincter
tone very tight

GERD motility for the esophagus stomach
motility the sphincter
esophageal motility gastric motility
sphincter
obesity )
( reflux
c/p
Heart burn, chest pain
burning pain esophageal spasm
dysphagia Pulmonary
cough larnygeal irritation
heart burn

6

GIT

Digested MP3s

Larynx irritated hoarseness of
voice !!!! asthmatic reflux

investigation
endoscope PH Lower part esophagus very low PH
reflux
barium hiatus hernia
complications
esophageal erosion hematemesis meleana stricture
parrot peak esophagus Lower part of the esophagus

simple measures
weight reduction
reflux

antacid ) (
proton pump inhibitor

reflux

) fundus stomach lower part esophagus abdomen
( laparoscope Q

Medical reflux

proton pump inhibitor

7

GIT

Digested MP3s

proton pump inhibitor

proton pump inhibitor


laparoscope

GERD myocardial ischaemia

clinical

related


ischaemia GERD
Ischeamic heart GERD



psychogenic pure motility disorder
....
Diffuse esophageal spasm esophagus x-ray
sever retro sternal chest pain
esophagus heart
exertion dyspnea relation to meals
dysphagia
esophagitis esophagus
chemical inflammation Candida cytomegalovirus immune
comprised

8

GIT

Digested MP3s

esophagitis pills induced

esophagus
...
...... esophagus

esophagus

esophagus proton pump inhibitor
"


100 120

esophagus perforation of the esophagus
) " (
Mallory -Weiss tear
tear gastro esophageal junction common in alcoholic
conservative treatment
esophagus

mediastinum
sever agonizing pain acute medistinmitis
esophagus

)esophageal web (plumberVinsonsyndrome
ring in the esophagus fibrous tissue ring in esophagus dysphagia
iron deficiency anemia association between dysphagia and iron deficiency anemia
fibrous tissue in esophagus PlummerVinsonsyndrome
"