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ESOPHAGUS Mary Hawn, M.D. Section of GI Surgery
[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
Anatomy – Muscular tube ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Esophagogastric Junction Definitions ,[object Object],[object Object],[object Object]
Anatomy – Blood Supply ,[object Object],[object Object],[object Object],[object Object]
Venous Drainage ,[object Object],[object Object],[object Object],[object Object],[object Object]
Anatomy – Lymphatic Drainage ,[object Object],[object Object],[object Object],[object Object]
Neck Esophagus Innervation ,[object Object],[object Object],[object Object]
Neck Esophagus Innervation ,[object Object],[object Object],[object Object]
Thorax Esophagus Innervation ,[object Object],[object Object],[object Object],[object Object],[object Object]
Thoracic to Abdominal Innervation Transition ,[object Object],[object Object],[object Object],[object Object]
Layers of Esophageal Wall  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Muscle ,[object Object],[object Object],[object Object],[object Object],[object Object]
Mucosa ,[object Object],[object Object]
Physiology ,[object Object],[object Object],[object Object]
UES ,[object Object],[object Object],[object Object],[object Object],[object Object]
LES (functional sphincter) ,[object Object],[object Object],[object Object],[object Object],[object Object]
HPZ ,[object Object],[object Object]
Swallowing ,[object Object],[object Object],[object Object]
Diagnostic Evaluation ,[object Object],[object Object],[object Object],[object Object]
24 – hour pH monitoring ,[object Object],[object Object],[object Object],[object Object]
24 – hour pH monitoring ,[object Object],[object Object],[object Object],[object Object]
Manometry:  Indications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Manometry ,[object Object],[object Object],[object Object],[object Object]
Normal Esophageal Motility
Barium Swallow ,[object Object],[object Object],[object Object]
Endoscopy ,[object Object],[object Object],[object Object],[object Object]
Esophageal Pathology ,[object Object],[object Object],[object Object],[object Object]
What is “reflux”? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Diagnosis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Complications of reflux ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Medical therapy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Surgery:  Indications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Surgery:  Fundoplication ,[object Object],[object Object],[object Object],[object Object],[object Object]
 
Diverticula of the Esophagus ,[object Object],[object Object],[object Object],[object Object],[object Object]
Traction Diverticula ,[object Object],[object Object],[object Object]
Pulsion Diverticula – Zenker’s ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Epiphrenic ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Functional Esophageal Disorders ,[object Object],[object Object]
Motor disorders of Skeletal Muscle ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Motor Disorders of Smooth Muscle ,[object Object],[object Object]
Achalasia ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Achalasia ,[object Object],[object Object],[object Object],[object Object]
Achalasia:  Symptoms ,[object Object],[object Object],[object Object],[object Object]
Achalasia:  Diagnosis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Achalasia ,[object Object],[object Object],[object Object],[object Object],[object Object]
Achalasia
Achalasia ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Achalasia:  Medical Treatment ,[object Object],[object Object],[object Object],[object Object],[object Object]
Achalasia:  Endoscopic Therapy ,[object Object],[object Object],[object Object],[object Object],[object Object]
Achalasia:  Endoscopic Therapy ,[object Object],[object Object],[object Object],[object Object],[object Object]
Achalasia:  Surgical Therapy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Achalasia:  Surgical Therapy ,[object Object],[object Object],[object Object],[object Object]
Achalasia:  Surgical Therapy Indications ,[object Object],[object Object]
Achalasia:  Surgical Therapy Results ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Achalasia:  Surgical Therapy Complications ,[object Object],[object Object],[object Object],[object Object],[object Object]
Diffuse Esophageal Spasm ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Diffuse Esophageal Spasm Motility Spectrum ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Diffuse Esophageal Spasm Evaluation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Diffuse Esophageal Spasm ,[object Object],[object Object],[object Object],[object Object]
Diffuse Esophageal Spasm Treatment ,[object Object],[object Object],[object Object],[object Object],[object Object]
Diffuse Esophageal Spasm Medical Treatment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Nutcracker Esophagus ,[object Object],[object Object]
Scleroderma ,[object Object],[object Object]
Esophageal Stricture ,[object Object],[object Object],[object Object],[object Object]
Congenital Webs ,[object Object],[object Object],[object Object],[object Object]
Acquired Strictures ,[object Object],[object Object],[object Object],[object Object],[object Object]
Cricopharyngeal Dysfunction Symptoms ,[object Object],[object Object],[object Object],[object Object],[object Object]
Cricopharyngeal Dysfunction Etiology ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Cricopharyngeal Dysfunction Evaluation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Cricopharyngeal Dysfunction Treatment ,[object Object],[object Object],[object Object],[object Object],[object Object]
GERD-related Dysmotility ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Transient LES relaxation ,[object Object],[object Object],Gastric distension Vagal afferents Vagal efferents Brainstem nuclei Relax LES
Transient LES relaxation:   Experimental  Treatment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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