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Gastrointestinal notes
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Gastrointestinal notes
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DITESEISTEMI Gistonmont artsrelationship stoolurinechanges
FYY I rbfood PE start w leastpainful area
obreaksdownfood
intosmallabsorbable Liver biliary CMPILFTS
Matssorption
of all hepatitispanel 66Tautoimmune
protein aminoacids
proximalduodenum
7261secretions
output s 200m
stoolday
981 fluid iiiglycogen I
forstorage
iii
I
transteroffood
is
i
odiagnostic or therapeutic
i
sphincter
cards
chiefcells
1 1
acidenzymes
produceenzymes is
fatprotein
helps absorb
function
endocrine
input enzymes in saliv
2L dietary downstarch
i
gastricjuic
Tbilverdin hemet secretedby
foot stomachwal
Biliary System teetering
a B forglucoseregulation ÉÉÉ e andbre
Goffin
excretesbilefrom
KILI
i iÉ
liver É
i
ii
i i enzyme
breakdow
enzymes ofbileand GI tract
S carbs
activated absorbs981 paga
Duodenum of fluid
bilehelpsto
breakdownfat
oproteases lipase
Itoh
Inte
THASESOFDIGESTION
TCephalicifoodsswallowed gastricactivity colon
thought offood brain themes stomach absorptionofwater
Gastric stomachstretches put acidrelease
foodbreakdownwhenphcz.atsecretioninhibited outputs
Intestinal foodentersduodenum enterogastric 200mL rectum
reflexIstomachstimulation duodenumcan fecescollects
processchymebeforestomachreceives more stool day beforeexcretion
, LO
ÉÉtIÉtÉ ammation ofesophagus
ÉÉÉÉÉÉÉstnma eczema
EE.EEE EYYnIEtionmsYdmTI'EYE ÉÉhpqy cosonic infiltration
Éidanimentatonfresnophagia painful Iicalmanitestronsdysphagiato
swallowing dysphagia chestpain pyrosis
sp ÉÉ R aIdrink
eatingchewing
aboutspeedof
clearfluidsetc
ÉIÉÉÉÉÉÉÉÉfF
ÉÉÉÉÉÉ
fI Kansas
ringsedema
endoscopy
furrow
strictures ftp
exudates
LIvascularity Ltlumendiameter
biopsy 15eosinophilsperhpf
Managementomeprazole x 8weeks
j
Effing repeatendoscopy w biopsies
oesophageal dilation serialdilations
can use PPI oncebleedinghasresolved swegepowtaffecasoneorbudesonide
Rare endoscopicinjection of epinephrine eliminationdiets 2 4,6
dairy gluteneggs nuts soy shellfis
Refer to Gl
ÉÉjÉÉÉ
EgÉ II.hn
ÉÉÉ nngg.iniestions.meas
iÉnI sina.gg m
dilations
Esophageal
daense.scopy
orders w endoscopy
Fdi
peristalsis Non relaxationofLES IFI.gg I.sm
IEIEn
chestpain
seen in SAmerica c america mexico gfnt allow
tertiarycontractraction
solidANDliquiddysphasia endoscopy
Forkscrewesophagus
Diagnostics'itatiitswntaintiittith management botox
estradeai dilationand
nytimes.mg nedBawi
Pneumaticballoortitiationtritithessophagealperf
POEM per oralendoscopicmyotomy Ariskofreflux
HellerMyotomy w toupetfondoplication
, BIFIyffy.fi
nfIheFmt
fed
strati squamous
aplasia change in esophagealepithelium from
esophageal simplecolumnar intestinal
Iicalmanifestationstypicallyasymptomatic
Diagnostics histopathologic
Management PPI ad bidindefinitely to prevent progression to cancer
Nondysplastic surveillanceendoscopyevery3 yrs w biopsies
Dysplastic radiofrequencyablation cryotherapy EMR
osurveillance endoscopy
every 6 months after treatmentcompletedthenyearl
FEFFEEE.IE TIsarretts
GERDobesity Risk factors tobacco
in distal 43 of the esophagus
ÉÉI frogressive soup
Risk factors tobaccoalcoholcausticingestion HPV achalasia
ÉÉÉÉman anemia Gl fooddysphagia bleeding
GERDsymptoms
zyight.IS
bariumswallow obstructiveprocess
egd w biopsiestoconfirm
Maidment staging
endoscopic mucousal resection cryotherapy radiofrequency ablation
surgical resection esophagectomy chemoand or radiation
chemo radiation can shrink tumor enough toperformendoscopictherapy
I
tents
É ÉÉ
Pathophysiologydilated veins typically in distal third of esophagus
causes portalhypertensionhighpressure inportalcirculation
É Eiari'siinardmeeraffosmboses
of the portal vein
Inicalmanitestations Painless UGIB
ÉÉg tm If Ifat prevention bblockers endoscopicbanding
avoid hepatotoxic agents
o
hemodynamicsupport high volume fluidreplacement vasopressors
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