Esophagus & stomach BY GRANT MEDICAL COLLEGE

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Esophagus & stomach BY GRANT MEDICAL COLLEGE

  1. 1. Esophagus & Stomach Dr.Akshay A. Bafna MD( Internal Medicine & Critical ), Dip. In Geriatric Medicine, Dip. Cardiology Program (JHU), ISE certified
  2. 2. Esophagus • 1) Anatomy & Physiology. • 2) Symptoms Of Esophagus • 3) Abnormalities : A) Anatomical : 1) Hiatus Hernias. 2) Rings & Webs 3) Diverticulas ( True & Pseudo) 4) Brief Tumors. B) Functional : 1) Motility Disorder: a) Achalasia b) DES c) GERD & d) Others. 4) Investigation: GE Scopy, EUS, Barium, Manometry, 24 hrs Ph Monitoring. 5) Others Disease & Esophagus at a Glance: Mallory Weistear, Boerhaeve $, Scleroderma ……………
  3. 3. Eosinophlic Esophagitis Esophageal Candidiasis
  4. 4. STOMACH • 1) Anatomy & Physiology: • 2) PUD : a) Ulcer b) Differnce between G & D ulcer c) Types of Gastric Ulcer: 4types. d) Causes of Ulcer: Other than H.pylori & NSAIDS. e) Effects of H. Pylori & NSAIDS. f)Investigation , Complication of PUD h) Managemebt of PUD & Complications. 3) Gastritis: Acute & Chronic ( Types A, Type B) 4) Stress Ulcer: 5) Menetriers Ds: 6) Pernicious Anemia 7) ZES ( Zollinger Ellison Syndrome):
  5. 5. STOMACH GE Junction Gastic Cardia • Fundus: Chief Cells ( Pepsinogen). • Body: ( Oxyntic Mucosa) • G cells : Gastrin Secretion • D cells : Somatostatin • Entrochromafin Cells : Histamine
  6. 6. Gastric Gland ( Oxyntic Gland)
  7. 7. GASTRIC PROTECTION
  8. 8. OUTCOMES OF H.PYLORI…..
  9. 9. EFFECTS OF NSAIDS……
  10. 10. BARIUM STUDY

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