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Esophagus quizes
Dr/ Hytham Nafady
Quiz 1
Findings
• Thickened mucosal folds along the distal esophagus.
DD
• Reflux esophagitis.• Esophageal varices.
Varices:• Nodular and serpentine.• Pliable (fluoroscopy).
Diagnosis
• Reflux esophagitis.
Quiz 2
Findings
• Mucosal reticulations.• Smooth stricture.• Ulcer.
DD
• Barret’s esophagus.• Candida esophagitis
Candida esophagitis:• Plaque like filling defects.• Shaggy esophagus.
Diagnosis
• Barret’s esophagus
Area gastrica
Esophageal filling defectSingle & largeAcute or right angle
(mural)Smooth surfaceLieomyoma
Mucosal irregularitycarcinoma
obtuse angle(extramural)LN
BVSmall & multiple
GranularReflux
Longitudinal Thickened mucosal folds
Reflux Serpentine & nodular
Pliable Varices
Non pliable Varicoid carcinoma
Reticular Barret’s esophagus
Plaque likeCandidiasis
DD of esophageal filling defects
Quiz 3
Findings
• Smooth short stricture.• Along distal esophagus.
Diagnosis
• Peptic stricture
Esophageal strictureBenign
Long segment
Caustic S
Radiation S
Short segment
At GEJ
Achalasia
Above GEJ
Peptic stricture
Mid esophagus
Barret esophagus
Upper esophagus
Skin lesios
Malignant Mucosal irregularity
Shouldering
Stricture Radiological criteria
Achalasia GEJ, short segment, markedly dilated esophagus
Pseudoachalsia (carcinoma of GEJ)
GEJ, long segment, mildly dilated esophagus, shouldering
Peptic stricture Short, smooth above GEJ.
Barret’s esophagus Mid-esophagus.
Skin diseases (e.g. pemphigus)
Upper esophagus, multiple
Caustic stricture Long segment + history of caustic ingestion
Radiation stricture Long segment + history of radiation stricture.
Malignant stricture Mucosal irregularity, shouldering.
Long segment strictures
Quiz 4
Findings
• Wide base.• Triangular shaped
diverticulum.
Esophageal diverticula
Pulsion
Upper esophageal
Zenker
Killian jamieson
Mid-esophageal
Epiphrenic
Traction
Mid-esophageal
Pseudo-diverticulosis
Esophageal diverticulae
Pulsion Traction
Purse shaped Tent shaped
Narrow neck Wide neck
Filled with contrast Empty
Upper, Mid or Lower esophagus
Mid-esophagus.
True diverticulum Pseudodiverticulum
Outpouching of all layers Outpouching of the mucosa through a defect in muscularis propria.
Diganosis
• Traction diverticulum.