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.