Zollinger-Ellison Syndrome (Gastrinoma) DEFINITION: A syndrome characterized by ulceration of the upper jejunum, hypersecretion of gastric acid, and nonbeta islet cell tumors of the pancreas Unlike typical peptic ulcer disease,…
Schatzki’s Ring/esophageal Spasm (Gastroenterology 1999;117:229-32 & 233-54) SCHATZKI’S RING Definition: Three types of rings: A: muscular in origin, occurs about 2 cm proximal to GEJ B (Schatzki’s): mucosal in origin,…
Peptic Ulcer Disease (PUD): H. Pylori, Nsaids (Lancet 2002;360:933-41. N Engl J Med 2002;347:1175-86. Am J Gastroenterol 1998;93:2037-46 & 2330-38) DEFINITION: Ulcer: Mucosal break of the stomach or duodenum that…
Percutaneous Endoscopic Gastrostomy (PEG) Tubes (Am J Gastroenterol 2003;98:272-7. Endoscopy 1998;30:781-89. Gastroenterology 1995;108:1282-1301) INDICATIONS: In general, patients should have a functional GI tract and anticipated life expectancy >30 days Malnutrition/poor…
Non-Cardiac Chest Pain (Neurogastroenterol Motil 2006;18:408-17) DEFINITION: Chest pains of non-cardiac origin Initial approach is to exclude coronary artery disease (CAD); Cardiac causes other than CAD: Mitral valve prolapse See…
Nausea & Vomiting (Gastroenterology. 2001;120:261-62 & 263-86) DEFINITION: Vomiting: forceful expulsion of gastric contents associated with contraction of abdominal and chest wall musculature Nausea: unpleasant sensation of the imminent need…
Manometry (Esophageal) (Gastroenterology. 2005;128:207-08 & 209-24. Gut 2001;49:145-51) INDICATIONS: Dysphagia not explained by stenosis or inflammation, Chest pain not explained by heart disease, Before fundoplication to exclude achalasia See also…
Injury (Esophagus): Pill Induced DEFINITION: Injury of the esophagus caused by a any of a number of pills/medications EPIDEMIOLOGY: Anyone who can ingest caustic pills is susceptible to pill-induced injury…
Injury (Esophagus): Corrosive DEFINITION: Injury of the esophagus caused by any number of caustic agents EPIDEMIOLOGY: Approximately 26,000 caustic ingestions occur per year; suicidal gesture is most common and most…
Gastroesophageal Reflux Disease (GERD)/Nonerosive Reflux Disease (NERD)/Erosive Esophagitis (EE) (Am J Gastroenterol 2005;100:190-200) DEFINITION: GERD: Pathologic condition of chronic symptoms or histopathologic injury via percolation of gastroduodenal contents into the…
