esophageal ulcer


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Related to esophageal ulcer: esophageal hernia

esophageal ulcer

GI disease A hole in the esophageal mucosa, which may be due to acid reflux from the stomach, H pylori infection, NSAIDs, cigarette smoking Clinical Pain may not correlate with severity of ulceration Diagnosis Barium swallow, endoscopy Complications Bleeding, perforation Treatment Antibiotics to eradicate H pylori, eliminating risk factors. See Caustic injury to esophagus, GERD.

esophageal

of or pertaining to the esophagus.
esophageal achalasia
see megaesophagus.
esophageal anomalies
very rare; include atresia, duplication, segmental aplasia, esophagorespiratory fistulae, diverticula, epithelial inclusion cysts.
esophageal atresia
congenital lack of continuity of the esophagus, commonly accompanied by tracheoesophageal fistula, and characterized by accumulations of mucus in the nasopharynx, gagging, vomiting when fed, cyanosis and dyspnea. Treatment is by surgical repair by esophageal anastomosis and division of the fistula.
esophageal distention
may result from acute or chronic obstruction of the esophagus, or from defective innervation. See also megaesophagus.
esophageal duplication
may be tubular and communicate with the effective esophagus, or cystic appearing as a cystic mass close to the functioning esophagus.
esophageal ectasia
see megaesophagus.
esophageal enlargement
clinically visible enlargement as seen in esophageal diverticulum, stenosis, paralysis, cardial obstruction.
esophageal fibrosis
a cause of acquired megaesophagus; usually caused by trauma or spontaneous ulceration.
esophageal groove
see reticular groove.
esophageal groove lesion
includes granuloma, papilloma, foreign body lodgment; cause of obstructive bloat.
esophageal hyperkeratosis
hyperkeratotic thickening of the esophageal mucosa due usually to hypovitaminosis A or chlorinated naphthalene poisoning.
esophageal inflammation
see esophagitis.
esophageal motility disorders
see megaesophagus.
esophageal neoplasm
very rare except for papilloma and fibropapilloma; causes chronic esophageal obstruction.
esophageal obstruction
acute obstruction is manifested by inability to swallow, regurgitation of saliva, food and water through the nose and much discomfort expressed by retching movements and pawing at the throat. Ruminants develop ruminal tympany. Chronic obstruction shows the same syndrome but with a gradual development and a tendency to develop aspiration pneumonia.
Enlarge picture
Palpating an esophageal obstruction in a cow. By permission from Blowey RW, Weaver AD, Diseases and Disorders of Cattle, Mosby, 1997
esophageal osteosarcoma
occurs in dogs in association with the parasite Spirocerca lupi.
esophageal papilloma
a cause of obstructive bloat.
esophageal paralysis
causes esophageal obstruction.
esophageal patching
see patch graft.
esophageal perforation
causes local cellulitis and compression-obstruction of esophagus.
esophageal pulsion diverticulum
a diverticulum that pushes outwards causing pressure on surrounding organs and tissues.
esophageal segmental aplasia
causes esophageal obstruction in neonates.
esophageal stenosis, esophageal stricture
causes esophageal obstruction; may be partial, permitting passage of liquids.
esophageal tube
see nasogastric tube.
esophageal ulcer
usually associated with pressure necrosis due to prolonged obstruction and injury by a solid foreign body or, rarely equine dysautonomia or Gasterophilus spp. infestation.
esophageal varices
distended veins at the gastric cardia causing dysphagia.
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References in periodicals archive ?
Diagnosis of esophageal ulcers in acquired immunodeficiency syndrome.
Gastrointestinal imaging in HIV
Unlike tetracycline- or doxycycline-induced esophagitis, which is manifested by small, shallow ulcers, esophagitis caused by potassium chloride, quinidine, NSAIDs, and alendronate sometimes leads to the development of giant esophageal ulcers.
A clinical/pattern approach for barium esophagography
1) The agent's manufacturer also warns that alendronate can cause upper gastrointestinal irritation that can lead to esophagitis, esophageal ulcers, and esophageal erosions with bleeding; in rare cases, esophageal stricture or perforation may occur.
Laryngeal ulceration and hemoptysis secondary to inadvertent alendronate overdose: case report and review of the literature
A highly symptomatic lesion of uncertain etiology (postulated to be caused by HIV directly), it has been cited as being responsible for up to 40% of esophageal ulcers in patients with HIV.
Human immunodeficiency virus-related gastrointestinal pathology: a southern Africa perspective with review of the literature (Part 2: neoplasms and noninfectious disorders)
These include nausea and heartburn, esophageal ulcers, diarrhea, constipation, dizziness, headaches, and more frequent (and possibly painful) urination.
Bisphosphonates
After three months, three percent of patients on famotidine and 15 percent of those on placebo had stomach ulcers; half of one percent of patients on famotidine and 17 percent of those on placebo had gastrointestinal ulcers; and four percent of patients on famotidine and 19 percent on placebo had esophageal ulcers.
H2 blockers help aspirin users relieve stomach irritation
This increases the risk of stomach and esophageal ulcers, and increases acid production.
How to manage symptoms of gastroesophageal reflux disease (GERD)
Exclusion criteria included any NSAID use prior to baseline endoscopy; being seropositive for Helicobacter pylori if baseline endoscopy revealed more than five erosions in the stomach or duodenum; any gastric, pyloric channel, or duodenal ulcer 3 mm or greater in diameter; or any esophageal ulcers or erosions.
Aspirin + celecoxib may protect against ulcers
Side effects of oral bisphosphonates also include esophageal ulcers and blockages.
Behind the headlines: osteoporosis drug concerns
Complications of GERD include esophageal ulcers and malformations.
Barium swallow
4% of patients with GERD had strictures, and the association between esophageal ulcers and stricture was significant.
The Evaluation and Treatment of Adults with Gastroesophageal Reflux Disease

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