Esopha-function disease幻灯片1.pptVIP

Esophagus Function Diseases;Scope of the Talk;How Does it Look?;Closer Look ;What Does it Do?;Volitional Swallowing;From there on Down;Let’s Start the Trip;Down it Goes;Getting Out;See the Pattern;Not Just Will Power;What are the Signals?;Experimental Data;Experimental Data LES;NO Scavenger;Bottom Line;Disorders;Case - 1;What is Heartburn / Pyrosis?;How Common is Heartburn?;What Causes Heartburn / Pyrosis?;Gastric Acid – A Looming Threat;Mechanisms of RefluxImpaired Barrier Function;Gut 31: 4, 1990;Hiatal Hernia GERD;Hiatal Hernia Reflux;Take Home Message;What Do We Look For?;Diagnosis - Symptoms;Diagnosis - Endoscopy;Diagnosis - Esophagram;Diagnosis - pH Monitoring;A Practical Alternative - Treatment as Test;Take Home Message;Non-Pharmacological Therapy;Alphabet Soup for GERDH2RA - PPI;Compare Contrast;GERD is a Chronic Disease;Maintenance Therapy;Safe in the Long Run?;What are the Alternatives ?;“Minimally Invasive Surgery” How Good is it ?;;SurgeryWhat Happens “Down the Road” ?;And Again: Bottom Line;Stricture formation. Barrett’s metaplasia. Extraesophageal complications.;Barrett’s Metaplasia;0;Metaplasia ? Dyplasia ? Cancer;Who is at Risk ? ;0;Another Bottom Line;Case - 2;What is Dysphagia?;Oropharyngeal DysphagiaClinical Manifestations;Oropharyngeal DysphagiaPhysical Examination;What Causes Esophageal Dysphagia?;Esophageal DysphagiaClinical Manifestations;Esophageal DysphagiaPhysical Examination;What Causes Esophageal Dysphagia?;Getting Stuck;Esophageal Dysphagia for Solids;“Steakhouse Coronary”;Esophageal Dysphagia for Solids;Diagnostic StrategyEsophageal Dysphagia for Solids;RELAX!;Infection/Neuromuscular;Achalasia;GASTROENTEROLOGY 111: 648; 1996;Radiology - Esophagram;Achalasia: Treatment Options;Case - 3;What Causes Odynophagia?;How to Evaluate Odynophagia?;Take Home Message;Case - 4;Is Non-Cardiac Chest Pain Important?;What Causes Non-Cardiac Chest Pain?;Often occurs simultaneously with dysphagia, odynophagia, heartburn, N/V, or reg