Dysphagia/Odynophagia (Gastroenterology. 1999;117:229-32 & 233-54) DEFINITION: Difficulty swallowing and passing food from the mouth or esophagus to the stomach Divided into: Oropharyngeal or Esophageal (See Etiologies below) Globus (hystericus): feeling…
Dyspepsia (Indigestion) (Am J Gastroenterol. 2005;100:2324-37; Gastroenterology. 1998;114:579-81 & 582-95) DEFINITION: Chronic or recurrent pain or discomfort centered in upper abdomen Patients with predominant or frequent (>once/week) heartburn should be…
Diverticula of Esophagus (Zenker’s) DEFINITION: Zenker’s Diverticula: upper esophageal diverticula Traction Diverticula: midesophageal diverticula Epiphrenic Diverticula: distal esophageal diverticula PATHOPHYSIOLOGY: Zenker’s: Impaired cricopharyngeal compliance, usually due to fibrotic changes, causes…
Barrett’s Esophagus (BE) (Gastroenterol 2006;131:1392-99 & 2005;128:1468-70. Am J. Gastroenterol 2002;97:1888-95) DEFINITION: Barrett’s esophagus (BE) is displacement of the squamocolumnar junction (SCJ) proximally to the gastroesophageal junction (GEJ) and intestinal…
Overall Bottom Line ALA is the most common manifestation of extraintestinal amebiasis. Untreated amebic liver abscesses are not likely to resolve spontaneously, and will require specific treatment. Post-treatment prognosis is…
Overall Bottom Line Cystic lesions of the liver represent a heterogeneous group of disorders, most of them with an indolent and benign course. Cystic lesions of the liver are frequent…
Overall Bottom Line Recurrence of HCV after transplantation is universal. Twenty-five percent of patients progress to cirrhosis within 5 years, 50% within 10 years. The differential diagnosis of abnormal liver…
Overall Bottom Line Despite landmark advances in surgical techniques and immunosuppression, PNF following LT remains a major cause of early graft and patient loss. Though not fully elucidated, the etiology…
Overall Bottom Line Diagnosis of ALF in children is more complex than in adults, as encephalopathy may be subtle, appear late and may even remain unrecognized. History is usually taken…
