Flashcards in Surgical Cases Deck (3)
A pt presents with solid and liquid dysphagia and subsequent regurgitation. Radiographic contrast studies shows "birds beak" sign or dilated esophageal body with inferior narrowing. Manometry studies shows loss of esophageal peristalsis. This is likely _____. The long term complications of this are _____. The sphincter involved in this problem is the _____.
Achalasia. Barrett's esophagus and subsequent ESOPHAGEAL CARCINOMA. Lower esophageal sphincter (LES)
A pt presents with dysphagia, a neck mass, ass breath, and food regurgitation. A _____ swallow shows a false diverticulum at the upper esophageal sphincter. This is called _____. What would you do about it?
Zenker's diverticulum. Diverticulotomy.