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The diagnostic workup for OGJ adenocarcinoma usually involves performing an endoscopy with endoscopic biopsy of suspicious looking tissue. Accurate staging of tumor extent and involvement of surrounding tissue or distant metastases is critical to establishing a prognosis, and is usually guided by endoscopic ultrasound, computed tomography scans, and/or positron emission tomography scans to ...
Barium X-ray examinations are useful tools for the study of appearance and function of the parts of the gastrointestinal tract. They are used to diagnose and monitor esophageal reflux, dysphagia, hiatus hernia, strictures, diverticula, pyloric stenosis, gastritis, enteritis, volvulus, varices, ulcers, tumors, and gastrointestinal dysmotility, as well as to detect foreign bodies.
Esophageal cancer (lower part) as a result of Barrettʼs esophagus. Male predominance is particularly strong in esophageal adenocarcinoma, occurring about 7 to 10 times more frequently in men. [25] This imbalance may be related to the characteristics and interactions of other known risk factors, including acid reflux and obesity. [25]
Cancer of the stomach, also called gastric cancer, is the fourth-most-common type of cancer and the second-highest cause of cancer death globally. [2] Eastern Asia (China, Japan, Korea, Mongolia) is a high-risk area for gastric cancer, and North America, Australia, New Zealand and western and northern Africa are areas with low risk. [5]
Transnasal esophagoscopy is an office based procedure in which the patient is anesthetized locally in the nose and sometimes the oropharynx.The scope is advanced into the ipsilateral pyriform sinus and through the esophageal inlet to the stomach, where the esophagus can be examined, with special attention paid to the gastroesophageal (GE) junction. [10]
Inadequate closure of the lower esophageal sphincter [6] Risk factors: Obesity, pregnancy, smoking, hiatal hernia, taking certain medicines [6] Diagnostic method: Gastroscopy, upper GI series, esophageal pH monitoring, esophageal manometry [6] Differential diagnosis: Peptic ulcer disease, esophageal cancer, esophageal spasm, angina [8] Treatment
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